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DCYF Form 15-416 Interstate Compact for Adoption Medical Assistance (Icama) Request - Washington
What Is DCYF Form 15-416?
This is a legal form that was released by the Washington State Department of Children, Youth, and Families - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DCYF Form 15-416?
A: DCYF Form 15-416 is the Interstate Compact for Adoption Medical Assistance (ICAMA) Request form in Washington.
Q: What is the purpose of DCYF Form 15-416?
A: The purpose of DCYF Form 15-416 is to request adoption medical assistance benefits for an adopted child who is moving across state lines.
Q: Who needs to fill out DCYF Form 15-416?
A: DCYF Form 15-416 must be filled out by the adoptive parents of the child.
Q: What information is required on DCYF Form 15-416?
A: DCYF Form 15-416 requires information about the adopted child, the adoptive parents, and the requesting state.
Form Details:
- Released on October 1, 2019;
- The latest edition provided by the Washington State Department of Children, Youth, and Families;
- 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 DCYF Form 15-416 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.
