IAAME MONTHLY REPORTS- IRN, JOR, MOR & PAK

Department of State's Case Detail Verification

This data is required by the Department of State for each child adopted to the United States. The collected data is aggregated and submitted to United State's Congress in an Annual Report in a non-identifying report. IAAME collects this data on behalf of the Department of State and is obliged to safeguard your family's confidentiality. If you have any questions you may contact manager@hopscotchadoptions.org
In an effort to be timely and accurate, please complete this survey for each child you have most recently adopted, meaning your child's Kafala or Guardianship has been finalized in your state of residence within 5 BUSINESS DAYS. We are grateful to each of you for your participation in this mandatory report to the Department of State. We love working with your lovely family!
Name of Adoptive Parent #1*

First NameLast Name
Adoptive Parent #1 Date of Birth*

MonthDayYear
Date
Adoptive Name of Parent #2 If Applicable

First NameLast Name
Adoptive Parent #2 Date of Birth If Applicable

MonthDayYear
Date
Enter The Date You Were Accepted Into The Hopscotch Country Program*

MonthDayYear
Look for the email that Welcomed you to Hopscotch for Primary Provider Services. This occurred after your service and fee agreements were returned to our office and your Agency Service fees were paid. Not the date of Application acceptance.
Enter Your City of Residence's Name:*
Choose Your State of Residence:*
Which Country Do You Reside In: *
What Country Did You Adopt From:*
What Country Did You Take Kafala or Guardianship From:
Choose one response specific to this adoption.
Have You Previously Adopted From a Foreign Country?
IF YES, Which Country Have You Most Previously Adopted/Kafala/Guardianship From:
IF YES, What Is The Date of Your Most Recent Previous Adoption:

MonthDayYear
Enter a date to the best of your knowledge, if your child's adoption decree is not readily available.
Is Your Case A Transfer Case from A Different Primary Provider? Choose Yes only if your original Primary Provider closed or was cancelled *
Enter The Approval Date Of Your Most Recent Home Study:

MonthDayYear
Look for the study’s final page where the agency signatures are notarized. Enter this date here.
Enter The Date Your Dossier Was Shipped or delivered Abroad:

MonthDayYear
Look for the email from Hopscotch that alerted you that your dossier was shipped or if the dossier was submitted in person by you, enter that date.
Enter Your Child's Referral Date:

MonthDayYear
This is the date when your child’s Kafala or Guardianship process began. This date is usually the first date your child’s adoption is entered into court naming you as the applicant. There are 30 days or more between this date and the execution of the Kafala or guardianship decree is physically issued to you. This is not the date you were presented information on your child prior to personally meeting the child.
Enter The Date Your Child's Referral Was Given:

MonthDayYear
*ENTER THE SAME DATE AS NOTED IN THE QUESTION ABOVE.
Enter Your Child's Name at Birth
Enter Your Child's Current Legal Name
Enter Your Child's Date of Birth

MonthDayYear
Date of birth listed on the child's original birth certificate
Choose Your Child's Gender:

FEMALEMALE
Is Your Child A Biological Sibling To Another Child in This Specific Adoption:

NOYES
Did You Act On Your Own Behalf:

NOYES
Enter The Name and Location of Your Child's Orphanage or Foster Family:
Was Your Adoption a Kinship/Relative Adoption: Example a Niece or Nephew to Adoptive Parent.
For This Adoption, Did You Adopt Unrelated Children? Example: If you adopted more than one child, and the children are not biologically related, choose "No".
Is This Adoption an "Out of Birth Order Placement"? Example: If you have children already in the home prior to this adoption, and the newly adopted child is older than the children in the home? Choose "Yes". This is considered to be an out of order placement. If the newly adopted child is younger than the children in the home, choose "No"
Enter The Date You Took Legal Custody Of Your Child:

MonthDayYear
Physical Custody is granted usually the day the court Kafala is executed. Enter the date your child's Kafala was Executed.
Enter The Date Your Child's Adoption Was Finalized in the State of Your Residence:

MonthDayYear
Enter the date your child’s adoption has been finalized in your state of residence.
Your Child's Adoption Will Be Finalized in the United Statess. **Select United States’

United States
1. Upon completion of your child's adoption finalization, in your state of residence, please return to this form and upload a copy of your child's Final Adoption Decree and/or Certificate of Citizenship upon receipt. 2. Hopscotch is required to ensure your child's adoption has been finalized and Citizenship has been bestowed upon your child, granting all of the privileges', protection and benefits each US citizen is rightfully given.

Please remember the submission of a scanned copy of the state issued documents and the child’s Certificate of Citizenship are a requirements previously noted within each family's service agreement.
Cancelof
Is your family in need of any additional support, services or resources?

YESNO
Name of Your Home Study Agency
Address of Your Home Study Agency

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Your Home Study Agency
Please enter a valid phone number.
Name of Your Home Study Worker

First NameLast Name
Finally, please enter your Home Study Social Worker's email address:
example@example.com
Should be Empty:

Department of State's Case Detail Verification