Form CFS1800-PAGS "Post Adoption and Guardianship Services Acknowledgement" - Illinois

What Is Form CFS1800-PAGS?

This is a legal form that was released by the Illinois Department of Children and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2014;
  • The latest edition provided by the Illinois Department of Children and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CFS1800-PAGS by clicking the link below or browse more documents and templates provided by the Illinois Department of Children and Family Services.

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Download Form CFS1800-PAGS "Post Adoption and Guardianship Services Acknowledgement" - Illinois

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CFS 1800-PAGS
Rev 7/2014
State of Illinois
Department of Children and Family Services
POST ADOPTION AND GUARDIANSHIP SERVICES ACKNOWLEDGEMENT
I/We
,
the
adoptive
parent(s)/guardian(s) of the minor(s),
acknowledge that our adoption worker has provided me/us with information on the following post adoption and
guardianship services that may be available to my/our adopted/subsidized guardianship child(ren) and family.
Our adoption worker has discussed and explained the following:
Adoption Assistance: the worker has explained that the child must meet certain eligibility requirement
to receive adoption assistance as per Rules 302.310, Adoption Assistance.
My/Our child is NOT eligible for Adoption Assistance
My/Our child IS eligible for Adoption Assistance:
Non-recurring expenses
Selection of Adoption Attorney 800-232-3798 or Website
www.state.il.us/dcfs/adoption
On-going monthly payment
Medical Assistance
Counseling
Other specialized services:
List of Services that CAN/CANNOT be approved in the subsidy per Rules 302.310,
Adoption Assistance, documented on the CFS 1443, Permanency Commitment by Foster
Parent / Relative Caregiver form, or
Subsidized Guardianship Assistance: the worker has explained that the child must meet certain
eligibility requirements to receive subsidized guardianship assistance as per the CFS 1800 A-G,
Subsidized Guardianship Eligibility Determination;
Post Permanency Sibling Contact Agreements (CFS 1800-SC) can be developed, amended or
terminated, as necessary, in order to meet the needs of my/our child. The Post Adoption Unit can
provide assistance when needed.
The Post Adoption and Guardianship Services booklet (CFS 1050-45)
The Post Adoption Unit may be reached at this number:
Adoption Preservation Services: including assessment, intensive therapeutic intervention, support and
advocacy, and/or cash assistance. To access Adoption Preservation Services families should contact
their local Post Adoption worker or – use the numbers listed for the individual programs in the Post
Adoption and Guardianship Services booklet.
CFS 1800-PAGS
Rev 7/2014
State of Illinois
Department of Children and Family Services
POST ADOPTION AND GUARDIANSHIP SERVICES ACKNOWLEDGEMENT
I/We
,
the
adoptive
parent(s)/guardian(s) of the minor(s),
acknowledge that our adoption worker has provided me/us with information on the following post adoption and
guardianship services that may be available to my/our adopted/subsidized guardianship child(ren) and family.
Our adoption worker has discussed and explained the following:
Adoption Assistance: the worker has explained that the child must meet certain eligibility requirement
to receive adoption assistance as per Rules 302.310, Adoption Assistance.
My/Our child is NOT eligible for Adoption Assistance
My/Our child IS eligible for Adoption Assistance:
Non-recurring expenses
Selection of Adoption Attorney 800-232-3798 or Website
www.state.il.us/dcfs/adoption
On-going monthly payment
Medical Assistance
Counseling
Other specialized services:
List of Services that CAN/CANNOT be approved in the subsidy per Rules 302.310,
Adoption Assistance, documented on the CFS 1443, Permanency Commitment by Foster
Parent / Relative Caregiver form, or
Subsidized Guardianship Assistance: the worker has explained that the child must meet certain
eligibility requirements to receive subsidized guardianship assistance as per the CFS 1800 A-G,
Subsidized Guardianship Eligibility Determination;
Post Permanency Sibling Contact Agreements (CFS 1800-SC) can be developed, amended or
terminated, as necessary, in order to meet the needs of my/our child. The Post Adoption Unit can
provide assistance when needed.
The Post Adoption and Guardianship Services booklet (CFS 1050-45)
The Post Adoption Unit may be reached at this number:
Adoption Preservation Services: including assessment, intensive therapeutic intervention, support and
advocacy, and/or cash assistance. To access Adoption Preservation Services families should contact
their local Post Adoption worker or – use the numbers listed for the individual programs in the Post
Adoption and Guardianship Services booklet.
Community Services (describe):
Resources for Locating a: Medical Provider – Medical Hotline 800-228-6533
Dental Care – Doral Dental 888-286-2447
Vision Care – Medicaid Vision Provider 800-226-0768
Search & Reunion Services, Closed File Information & Confidential Intermediary Services:
Midwest Adoption Center
3158 S. River Road – Suite 120
Des Plaines, IL 60018-4221
Phone: 847-298-9096
(Information in the Post Adoption and Guardianship Services booklet, pg. 17)
Illinois Adoption Registry:
Illinois Department of Public Health
Division of Vital Records
605 W. Jefferson Street
Springfield, Illinois 62702-5097
Phone: 217-557-5159 or 877-323-5299 (toll free)
(Information in the Post Adoption and Guardianship Services booklet, pg. 17)
Making the Adoption/Guardianship Decision booklet (CFS 1050-43)
What is SSI/SSA – can I receive both the subsidy and SSI/SSA?
(Can be found on pg. 24 of the Making the Adoption/Guardianship Decision booklet.)
DCFS Advocacy Office Hotline – 800-232-3798
DCFS Adoption Support Line – 888-96-ADOPT (888-962-3678)
I/We acknowledge that our adoption worker has provided and discussed with me/us the information listed
above on Post Adoption services that may be available to my/our adopted child(ren) and family.
I have received the informational Post Adoption Packet.
Adoptive Parent/Guardian
Date
Adoptive Parent/Guardian
Date
Adoption Specialist
Date
Adoption Supervisor
Date
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