18 MAC Pt. 303, R. 2.2.4
Court Referral – A court having jurisdiction over a child may request an out-of-state
Cite as 18 Miss. Admin. Code Pt. 303, R. 2.2.4
Court Referral – A court having jurisdiction over a child may request an out-of-state
placement. To initiate such a request, a court assigned liaison or MDCPS employee
must submit the referral packet. A referral packet for a child who is not in the
custody of MDCPS must contain the following documents:
1. A completed ICPC-100A signed by the judge or designated judicial officer;
2. A cover letter on court or Agency letterhead;
3. A current social history of the child which must contain
a. The child’s name,
b. The child’s date of birth, and
c. Any other demographic information included in the court file.
4. Pertinent court documents, including:
a. Petitions,
b. Adjudication of delinquency,
c. Orders stating the child is neglected or in need of supervision, and
d. Any other documentation from the court file indicating why the child
is before the court.
The original referral packet and two (2) copies may be mailed to the ICPC Unit or a
complete referral packet may be scanned and emailed to the ICPC Unit.