STATE OF TENNESSEE DEPARTMENT OF CHILDREN’S SERVICES Division of Licensing Cordell Hull Bldg., 9th floor 436 6th Ave. N. Nashville, TN 37243-1290 (615) 532-5640 Fee Schedule for Adoption-Related Services 2013-2014 Introduction The following document is a comprehensive list of all agencies licensed to provide adoption-related services within the State of Tennessee and their associated fee schedules. All data, including contact information, service rates, service descriptions, etc. is provided directly by each licensed agency. This information is gathered, compiled and published annually by the Tennessee Department of Children’s Services Division of Licensing. Please note that this information is provided in a truncated format and therefore lists only general fee schedules for comparison purposes. More specific fee information may be obtained by contacting each agency directly. All fee schedule data is subject to change so please confirm current service rates with the individual agencies. Some agencies may not be represented on this schedule due to licensure after, or failure to submit agency data by, the publication date. A current fee schedule should be requested from any agency you may be considering, whether or not it is included on this list. If you are attempting to verify information on an agency that has not been included in this schedule, please contact DCS Licensing at (615) 532-5640 for additional information. A Note From DCS Licensing Regarding Consumer Awareness Many children are currently in need of a loving, permanent family, and the process of opening one’s home to a child in need can be one of the most beautiful and significant events in the lives of both children and adoptive parents. The State of Tennessee offers many quality options for adoption-related services. However, as with any fee-based business transaction, it is still important to take time to become familiar with the process and to compare the cost, quality and scope of services among each of the agencies providing these services. We encourage each prospective adoptive family to research an agency’s itemized fees; type of accreditation, if applicable; licensing status and history; liability insurance, etc. and to please read the contract carefully. Tennessee’s laws and regulations are in place to help protect both the child and the family (as consumer) but once a legal and binding contract has been signed, our offices have very few avenues for corrective action or in assisting a disappointed client seeking redress. Please also ensure that the agency you are engaging is licensed to provide adoption-related services within the State of Tennessee. Many internet-based adoption services are not effectively regulated and seeking redress through consumer-protection laws for programs not licensed in Tennessee can be a difficult and costly process. We want to ensure your adoption offers a beautiful and rewarding experience for all involved and a little “homework” goes a long way in ensuring that outcome. We wish each of you the best of luck in your endeavors and please feel free to contact the DCS Division of Licensing if our offices can ever be of any assistance to you. Section I- Fee Schedule for Domestic Adoption-Related Services * Denotes international rates are also included in domestic summary Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Adoption Assistance, Inc. 4021 Windwood Lane, Nashville, TN 37214 Carole Ozment, LCSW 615-391-3099 Fax: 615-301-1740 [email protected] www.adoptionassistance.com 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Agency adoption Independent adoption New adoption, previous client New adoption, previous home study with another agency Home Study Update: Addendum: With visit Without visit Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specify) N/A BIRTH PARENT SERVICES: Interview Counseling Other: (Please specify) N/A $50.00 due with application $1500 due upon completion $1000 due upon completion $600 due upon completion $1000 due upon completion $275 - $750 due upon completion $100 due upon completion $50 due upon completion $50 court report, due upon completion $150 per report, due upon completion A full refund of the home study fee will be issued if no visits are made and family postpones/cancels adoption plans. A partial refund will be issued if the family postpones/cancels adoption plans following visits or writing of reports. Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Adoption Consultants in Tennessee, Inc. 8920 Shallowford Rd. Knoxville, TN 37923 (865) 769-9441/[email protected] 501(c)3 Status: Non-Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specify) BIRTH PARENT SERVICES: Interview Counseling Other: (Please specify) Coordination activities RANGE OF FEE OR N/A N/A $250 $1,000 (Knox County); additional charges for out-of-county service $500 (Knox County); additional charges for out-of county service (included in post placement fee $10,000 $100 per hour N/C N/A Individually determined; adoptive family responsible N/C if routine Current Federal Rate $100 per hour $100 per hour Current Carrier Rate Determined on case by case basis N/C for initial interview $100 if placement elected $100 per hour Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Adoption Counseling Services * 2185 Wickersham Lane Germantown Tenn 38139 901-753-9089 [email protected] www.adoptionandyou.com 501© 3 Status: Non Exempt For Profit SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) RANGE OF FEE OR N/A N/A N/A $1000-1450.00 FOR DOMESTIC HOMESTUDY DEPENDENT ON REQUIREMENTS $1850.00 INTERNATIONAL HOME STUDY $350.00-$850.00 DEPENDING ON REQUIREMENTS AND CONTENTS/DATE OF ORIGINAL HOMESTUDY $350.00 $7500.00 $275.00 .55 PER MILE $90.00 PER HOUR After initial mailing of homestudy $7.00 for other copies $15.00 if placement agency requires all supporting documents $90.00 per hour $90.00 per hour Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Adoption and Pregnancy Services, Inc. 3703 Hixson Pike, Chattanooga, TN 37415 Anita Rivers, LCSW 423-877-5990 501(c)3 Status: Non exempt (for profit) SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: DCS clearance other states Additional reports/services requested by international agency Travel fee RANGE OF FEE OR N/A NA 250 1850 750 Included with homestudy process NA 250 each visit 200 federal rate per mile out of county 100 per hr As incurred NA NA NA 25 100 hr 100 hr Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Adoption Promises P.O. Box 654, Smyrna, TN 37167 Joanne Zambo/731-415-7503 [email protected] www.adoptionpromises.com 501(c)3 Status: Neither SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specify) Update a Home Study from another agency BIRTH PARENT SERVICES: Interview Counseling Other: (Please specify) RANGE OF FEE OR N/A None None $1300 $350 None None $350 None N/A N/A N/A None None None None None $600 N/A N/A N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Agape 4555 Trousdale Drive Nashville, Tennessee 37204 615-781-3000 [email protected] agapenashville.org Exempt- Non-Profit SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A $ 200.00 Half of Home Study Fee due when applying $1,2000; $1,300.00 for Independent Study $250 annual update, $750 if original approved home study is less than 5 years old, $1,000 if home study if more than 5 years old N/A 15% of gross combined income, Min: $10,000, Max: $20,000 $750.00 for Independent Adoption, $150 per visit if more than three visits are required by oversight agency OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) Internet Listing $200.00 N/A N/A N/A $0.45 per mile for trips over 80 miles N/A Negotiated N/A N/A $100.00 BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) N/A $50.00 per hour N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services A Lifetime of Love Adoptions 1315 East Castle Street, Bldg. D, Office 2, Murfreesboro, TN 37130 615-653-4771 [email protected] http://www.alolatn.com 501(c)3 Status: Non-Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A N/A (included with Home Study fee) N/A (included with Home Study fee) $999.95 $400 N/A (included with Home Study fee) N/A (included with Home Study fee) $250 per visit plus mileage OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) N/A N/A N/A N/A Rates and ranges listed on our website N/A N/A N/A N/A BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) N/A $50 per hour Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services America World Adoption 616 Hays Blackman Loop, Antioch, TN 37013 Bethany Martin, 1-800-429-3369 ext. 161 [email protected] www.awaa.org 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A N/A $100 $1500 $175-$450 $100-$225 N/A $150 per report, $75 for an additional child OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy)Additional Visit N/A N/A N/A N/A $0.565 per mile when over 20 mile round trip $100 for overnight stays N/A N/A $20 $100 BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) N/A N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Appalachian Family Outreach, Inc. 805 Tiger Creek Road Roan Mountain, TN 37687 Larry Rose; (423) 725-2450 ; [email protected] Agency Web Address: www.appfamily.org 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A n/a n/a $1,200 0 - $600 $300 $4,700 when applicable $100/visit OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) $200 $35/day At cost n/a IRS Rate At cost up to maximum of $100/day n/a n/a n/a BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) n/a $75/hr. n/a Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Bethany Christian Services of Greater Chattanooga 400 S. Germantown Road, Chattanooga, TN 37411 423.622.7360; [email protected] or [email protected] www.bethany.org 501(c)3 Status: Exempt SERVICES Orientation Fee: TRAINING FEE Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) Support Services Networking/Marketing Fee BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) RANGE OF FEE OR N/A $1,000.00 $500.00 $1,800.00 $250.00 0 $10,200.00 Included in Placement Fee ($250/visit) 0 0 $2,000.00 0 0 0 0 0 0 $2,000.00 $2,500.00 0 0 Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Bethany Christian Services of West Tennessee 1044 Brookfield Rd, Ste 102, Memphis, TN 38119 Michael McDonald, Executive Director (901.818.9996) [email protected] www.bethany.org/memphis 501(c)3 Status: Exempt Non Profit SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specify) BIRTH PARENT SERVICES: Interview Counseling Other: (Please specify) RANGE OF FEE OR N/A N/A $550.00 $1,450.00, $1,500 independent family $250 BCS family, $500 independent family Included in placement fee for BCS family, $300 independent family $12,500 - $27,000 (based on income) $200 BCS family, $300 independent family $350 independent family $25 per day – independent family Actual expense amount $300 independent family $.48 per mile beyond 50 mile radius of BCS $50/hr, independent family $100/hr, independent family Actual expense amount $350 independent family $100/hr independent family Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Bethany Christian Services 220 Athens Way, Ste. 405, Nashville, TN 37228 Michael McDonald, 615-242-0909 [email protected] www.bethany.org Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy)Background Checks BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) RANGE OF FEE OR N/A N/A $1000 $2000 $300 N/A $16,800-34,000 $300 (if independent placement) $3000 $188 N/A N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Catholic Charities of East Tennessee, Inc. 3009 Lake Brook Blvd. Knoxville, TN 37909 (865) 251-0488 [email protected] ccetn.org 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A N/A $250 $1,500 $750 $100 included in post placement fee $5,000 - $10,00 $100 per hour OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) N/A N/A Individually determined N/A Current Federal Rate $75 per hour N/A Current Federal Rate Determined on case by case basis BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) N/A $100 if placement elected Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Catholic Charities of TN, Inc. 30 White Bridge Road, Nashville, TN 37205 Donna Thomas 615-352-3087 [email protected] cctenn.org 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) BIRTH PARENT SERVICES: Interview Counseling RANGE OF FEE OR N/A N/A $500.00 for agency domestic adoptions $1500.00 $100-300 for addendum, $400 minimum for update $150.00 15% of gross annual income (at time of placement with a minimum of $6000 and a maximum of $18,000. Included in placement fee for agency adoptions, $200 a visit for independent adoptions N/A Included in placement fee for agency adoptions, $25.00 a day plus expenses, such as mileage, medication etc. for independents Maximum of $720 for housing, utilities, food, $250 for infant foster care, $1800 for medical expenses. Any cost over that is discussed with the potential adoptive family and the agency attorney. N/A Included in agency placement fee, State of Tennessee rate for reimbursement at time of travel in independents. See above $125.00 an hour for independents FedEx, etc charged at actual expense in independents N/A Other: (Please specifiy) Correspondence with other agencies Continuing Education Classes offered by Catholic Charities Custody Studies $50.00 and hour $10.00 a person, $25.00 a couple $500 minimum Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Crossroads Integrated Health Services, Inc./ POC Karan E. Goins, LCSW 929 W 1st North Street, Suite A, Morristown, TN 37814 423-581-5342/ [email protected] 501(c)3 Status: does not apply SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) RANGE OF FEE OR N/A $1000.00 $400.00 $125.00 $.55 per mile outside Hamblen County $125.00 Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Frontier Health Sherri Feathers, (423)224-1044 [email protected] Frontierhealth.org 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A NA $100 $1,000 $400 NA NA $85 /visit OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) NA NA NA NA NA NA NA NA NA NA BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) NA NA FBI Fingerprinting - $45 per adult Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Greater Chattanooga Christian Services P O Box 16396 Chattanooga, TN 37416 423-499-9535 [email protected] ourgccs.org 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A N/A $200.00 $800.00 $125.00 per visit, plus mileage N/A Determined on case basis $150.00 adm. Fee/$125.00 per visit OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) N/A N/A N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Hannah’s Hope 5676 Stage Rd Bartlett, TN 38134 Ph: 901-327-5560 [email protected] www.hannahs-hope.org 501(c)3: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A n/a $200 $1000-$1200 $500-$600 $250 $11,500 - $20,000 $250 (+mileage) OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) Fees are case specific $20/night As needed Included in placement fees IRS rate N/A $100/hour Actual costs N/A BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) $100/hour for private adoptions Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Harmony Family Center, Inc 118 Mabry Hood Road, Suite 400 , Knoxville TN 37922 Pam Frye at [email protected] 865-982-5225 www.harmonyfamilycenter.org 5013C/Not for Profit SERVICES Orientation Fee: Application Fee: Home Study: RANGE OF FEE OR N/A None None $1,000 for domestic Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: $100 per hour $200 per report $2000 for infant placement $200 per visit and report OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) NA NA Based on actual costs NA .46 per mile NA $100 per hour Based on actual costs Based on actual costs BIRTH PARENT SERVICES: Interview Counseling No cost for birth parents, $100 per hour if matched with family or contracted No cost for birth parents, $100 per hour if matched with family or contracted Other: (Please specifiy) Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Heaven Sent Children Adoption, a division of The Center for Family Development 1800 S. Rutherford Boulevard, Suite 201, Murfreesboro, TN 37130 Cindy Posey, 615-898-0803 [email protected] www.heavensentchildren.com 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care (if needed) Birthparent/infant medical/living expenses Birth Parent Counseling & Legal Work to Terminate Parental Rights Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) Expedited Home Study BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) RANGE OF FEE OR N/A N/A $200 $1,500 $400 N/A $10,000-$21,000 – based on income $250 $200 $50/day Up to $2,500; varies with each adoption situation $5,000 N/A .46/mile above 100 miles per visit N/A N/A N/A N/A $500 in addition to the home study fee N/A N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Holston United Methodist Home for Children 407 Holston Drive, Greeneville, TN 37744 1-800-628-2986 www.holstonhome.org 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: Preliminary or Expedited Home Study Fee BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) RANGE OF FEE OR N/A N/A $200 $1200 (In State), $1400 (With ICPC Involvement) $300 $150 N/A $150 per visit N/A (Included in the Home study fee) N/A N/A N/A $.50 per mile to/from the social worker’s office and adoptive home, per trip to the home N/A $90 per hour N/A N/A $600 N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Jewish Family Service/The Adoption Connection 6560 Poplar Avenue, Memphis, TN 38138 (901) 767-8511 carla.proctor@jfsmemphis www. jfsmemphis.org 501(c)3 Status: Exempt Non Profit SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) RANGE OF FEE OR N/A $250.00 1100.00 Less than year $350.00; 1-5years Domestic $500.00 Included in post placement 21,500, if JFS places infant $350.00 No additional fee $20.00 per day plus expenses Usually included in placement fee No additional charge Current government rate ($.565) Actual if any in addition to mileage $90.00/hour Actual if anything other than US Post Office Double normal fees No fees to birthparents Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Jewish Family Service of Nashville and Middle Tennessee, Inc. 801 Percy Warner Blvd., Nashville, TN 37205 Phone: (615) 356-4234 Email: [email protected] www.jfsnashville.org 501(c)3 Status: Exempt Non Profit SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) BIRTH PARENT SERVICES: Interview Counseling RANGE OF FEE OR N/A N/A $200 Preliminary: $300 Full and complete: $1400 Update: $500-$1000 Addendum: $75 per page Court Report: $150 Sealing Records: N/A N/A $200 per visit for Instate adoption ($50 per additional child), $225 per visit/report for Interstate adoption ($50 per additional child) N/A N/A N/A N/A IRS allowed rate $30 per hr for travel outside Davidson County N/A Cost of actual Fed Ex/Overnight charges N/A Information meeting: $80 (applied to cost of home study if PAP wants to proceed) JFS will mail home study and supporting documents to up to two placing agencies. Then the charge is $50 per additional agency. For any additional services not on this fee list, the charge is $80 per hour. N/A 3 sessions free to any birthparent. When birthparent has been matched with PAP, any sessions over three will be billed to PAP . Other: (Please specifiy) Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Life Choices of Memphis, Inc. 5575 Raleigh Lagrange, Memphis, TN 38134 901-388-1172/ [email protected] www.lcfriends.org exempt – Non Profit SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specify) BIRTH PARENT SERVICES: Interview Counseling RANGE OF FEE OR N/A $50.00 $300.00 $500.00 agency/$850.00 private-attorney $250.00 No cost for agency adoption/$100 for private-attorney adoption 15% of AGI, $10,00 minimum, $20,000 max No cost for agency adoptions/$150 per visit for private-attorney adoptions No cost $10 day Case by case within parameters of the law No cost .40/mile outside Shelby County for privateattorney adoptions NA No cost No cost No cost No cost No cost for agency/ $ 75 hour for private-atty paid by adoptive couple Other: (Please specifiy) Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Lifeline Children’s Services 2104 Rocky Ridge Road Birmingham, AL 35216 205-967-0811 [email protected] 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A N/A $250.00 $1500.00 $350.00 N/A $14,000 – 20,000 $250.00 OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) Program Fee N/A N/A $ 3,000 (included in placement fee when applicable) N/A N/A N/A N/A N/A N/A $ 4,750.00 BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) N/A N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Mercy Ministries of America P.O Box 111060 Nashville, TN 37222 Joy Denny- Director of Adoptions – 615-831-6987 www.mercyministries.com 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A $0 $25 Application Fee & $200 Application Processing Fee N/A (Don’t provide – will need outside agency to complete) N/A $0 $0 N/A (Don’t provide – will need outside agency to complete) OPTIONAL/ADDITIONAL EXPENSES No set agency cost – Only charge families for actual expenses incurred Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Emergency Documents Other: (Please specify) General range of $75-150 $12 a day Any Birthparent/Infant medical costs not covered by TennCare $0 $.565 per mile – incurred by Interim Care families $0 $0 Per placement needs – Mailing Birthfather paperwork and ICPC documents $0 $0 BIRTH PARENT SERVICES: Interview Counseling Other: (Please specify) $0 $0 $0 Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Miriam’s Promise 522 Russell St Nashville, TN 37206 615-292-3500 [email protected] or [email protected] www.miriamspromise.org 501(c)3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) RANGE OF FEE OR N/A N/A $200 $1200 $90 per hour $150 Sliding Scale Based on Income $8500 - $18,000 $200 plus mileage $1400 $20 per day N/A $90 per hour Current federal rate $90 per hour $90 per hour Current postage rate $90 per hour N/A N/A Fees will be assessed if services to birth parents are in conjunction with an independent placement arrangement Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Monroe Harding, Inc. 1120 Glendale Lane Rhonda C. Allen 615-298-5573 ext 122 [email protected] 501© 3 Status: Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A N/A N/A $1500.00 $150.00 N/A N/A N/A OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) N/A BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Options 4 Adoption, Inc. Local: 920 Woodmont Blvd, Unit O6, Nashville, TN, 37204 Main: 5957 Henley Drive, Powder Springs, GA, 30127 Kelly Barth, (770) 514-7324 [email protected] Agency Web Address www.options4adoptionc.com 501(c)3 Status: Non exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A 0 $100 $1250 plus mileage $700/$150 $200 N/A $250 plus mileage OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) N/A we do not place children N/A N/A N/A N/A At current IRS guidelines N/A N/A N/A N/A N/A BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) N/A we do not place children N/A N/A N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Porter-Leath 868 N. Manassas Memphis, TN 38107 (901) 577-2500 Lillian Hampton [email protected] www.porterleath.org 501(c)3 Status: (Exempt) Non Profit SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A $50 $500 $1200 $600 $700 $7,000 $150 per visit + .44 cents per mileage OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) N/A $750 N/A $75 per hour .44 cents per mile $45 per day $125 per hour $150 $500 BIRTH PARENT SERVICES: Interview Counseling Other: (Please specify) N/A N/A N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Small World 1550 N. Mt. Juliet Rd. Mt. Juliet Tennessee 37122 Jim Savley 615-754-6540 www.swa.net Tax exempt – Non Profit SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A N/A $300 $2,000 Addendum Free – Update $1,200 $2,000 $15,000 $1,000 OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) inclusive inclusive $5,000 Inclusive Inclusive Inclusive Inclusive Inclusive Inclusive Inclusive BIRTH PARENT SERVICES: Interview Counseling Other: (Please specify) Inclusive $3,000 paid by Adoptive Parents Surrender - $2,000 Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Tennessee Children’s Home-East 8560 Harold Duncan Way Knoxville TN 37931 865 584-0841 Tennesseechildrenshome.org Exempt SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: International Home Study OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) Expedited Home Study BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) RANGE OF FEE OR N/A 250.00 1,250.00 300.00 250.00 5,000 – 9,000 125.00 1,500.00 150.00 NA NA 150.00 .50 per mile As used 1,700.00 No Charge Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for Domestic Adoption Services Youth Villages 5515 Shelby Oaks Memphis, TN 38134 Agency Contact: Shelley Richards 731-288-4611 [email protected] youthvillages.org 501(c)3 Status: Exempt Non Profit SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: RANGE OF FEE OR N/A NA NA NA NA NA NA 450.00 OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) Court Reports and Preplacement Summary Fees NA NA NA NA NA NA NA NA NA 400.00 BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) NA NA NA Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Section II- Fee Schedule for International Adoption-Related Services Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Bethany Christian Services of West Tennessee 1044 Brookfield Rd, Ste 102, Memphis, TN 38119 Michael McDonald, Executive Director 901.818.9996 [email protected] www.bethany.org/memphis 501(c)3 Status: Exempt Non Profit SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) RANGE OF FEE OR N/A N/A $550.00 $1,500 BCS family, $2,500 independent family $500 BCS family update, $600 independent family update; $250 addendum fee $100/hr independent family $1,750 BCS family, $350/visit independent family Included in placement fee for BCS family, $300 independent family $.48 mile beyond 50 mile radius of BCS $100 hr independent family Actual expense $42.00 per person Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Bethany Christian Services 220 Athens Way, Ste. 405, Nashville, TN 37228 Michael McDonald 615-242-0909 [email protected] www.bethany.org Exempt SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) RANGE OF FEE OR N/A $550 $2100 $2000 Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Crossroads Integrated Health Services, Inc./ POC Karan E. Goins, LCSW 929 W 1st North Street, Suite A, Morristown, TN 37814 423-581-5342/ [email protected] 501(c)3 Status: does not apply SERVICES Orientation Fee: Application Fee: Home Study: Home Study Update/Addendum: Court Report & Sealing Records: Placement Fee: Post Placement Supervision Visit: OPTIONAL/ADDITIONAL EXPENSES Interstate Services Interim Foster Care Birthparent/infant medical/living expenses Facilitation of Post adoption communication Mileage Travel Extensive Consultation Postage Emergency Documents Other: (Please specifiy) BIRTH PARENT SERVICES: Interview Counseling Other: (Please specifiy) RANGE OF FEE OR N/A $1000.00 $400.00 $125.00 $.55 per mile outside Hamblen County $125.00 Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Greater Chattanooga Christian Services P O Box 16396 Chattanooga, TN 37416 423-499-9535/[email protected] ourgccs.org 501(c)3 Status: Exempt SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) RANGE OF FEE OR N/A N/A $200.00 $800.00 $125.00 per visit, per mileage Done by the placing agency N/A $150.00 adm. fee/$125.00 per visit N/A N/A N/A N/A Paid by adoptive family Paid by adoptive family Paid by adoptive family Done by placing agency Will do home study and post-placement supervision only for families going with an international adoption agency Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Harmony Family Center, Inc 118 Mabry Hood Road, Suite 400 , Knoxville TN 37922 Pam Frye at [email protected] 865-982-5225 www.harmonyfamilycenter.org 5013C/Not for Profit SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) RANGE OF FEE OR N/A NA NA $1,400 $100 per hour NA NA $200 per report $200 per report .46 per mile $100 per hour Actual costs NA $48 NA NA Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Heaven Sent Children Adoption, a division of The Center for Family Development 1800 S. Rutherford Boulevard, Suite 201, Murfreesboro, TN 37130 Cindy Posey, 615-898-0803 [email protected] www.heavensentchildren.com 501(c)3 Status: Exempt SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) Interagency Coordination – includes assistance with USCIS process, dossier preparation, and coordination of placement with national agency RANGE OF FEE OR N/A N/A $200 $1,700 $400 N/A N/A $250 N/A .46/mile above 100 miles per visit per visit N/A N/A N/A N/A N/A N/A $500 Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Holston United Methodist Home for Children 407 Holston Drive, Greeneville, TN 37744 1-800-628-2986 www.holstonhome.org 501(c)3 Status: Exempt SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other: Adoption Program & Placement Fee (Philippine Program) RANGE OF FEE OR N/A N/A $200 (Regular), $300 for Philippine Relative $1600 $300 N/A $1,000 (Philippine program only) $150 per visit, $75 additional per child per visit if adopting sibling group $150 $.50 per mile to/from the social worker’s office and adoptive home, per trip to the home $90 per session N/A N/A N/A N/A N/A $7,150 ($6,150 for Relative adoption) An additional $1,000 if adopting more than one child Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Jewish Family Service/The Adoption Connection 6560 Poplar Avenue, Memphis, Tennessee 38138 (901) 767-8511, carla.proctor@jfsmemphis www.jfsmemphis.org 501(c)3 Status: Exempt Non Profit SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) RANGE OF FEE OR N/A $250.00 1100.00 $850.00, addendum not usually done Done on Internet and couples pay Included $350.00/per visit Included Current government rate (.565) $90.00/hour US Postage included. Any other actual Included They pay directly. They pay placing agency. Included Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Jewish Family Service of Nashville and Middle Tennessee, Inc. 801 Percy Warner Blvd, Nashville, TN 37205 Phone: (615) 356-4234 Email: [email protected] www.jfsnashville.org 501(c)3 Status: Exempt Non Profit SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) RANGE OF FEE OR N/A N/A $200 $1600 Update: $500-$1000 Addendum: $75 per page N/A N/A $200 per visit/report ($50 per additional child) Court Report: $150 Sealing Records: N/A IRS allowed rate for mileage: $30 pr hr for travel time outside Davidson Co. N/A Cost of actual Fed Ex/Overnight expense Authentication fees: N/A N/A N/A N/A N/A Information meeting: $80 (applied to cost of home study if PAP wants to proceed) For any additional services not on this fee list, the charge is $80 per hour. Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Life Choices of Memphis, Inc 5575 Raleigh Lagrange, Memphis, TN 38134 901-388-1172/[email protected] www.lcfriends.org exempt – Non Profit SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) RANGE OF FEE OR N/A NA NA $1400 700 No cost NA $200 per visit/report 100 .40/mile outside of Shelby County No cost NA NA NA NA Na We only do home studies and post placement for non-Hague countries Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Lifeline Children’s Services 2104 Rocky Ridge Road Birmingham, AL 35216 (Phone/Email): 205-967-0811 Agency Web Address: [email protected] 501(c)3 Status: Exempt SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) Post Adoption Visits RANGE OF FEE OR N/A $5,500.00 $250.00 $1,500.00 $250 – $2,000 $12 – $200 $800 – $1,190 $1,000.00 $0 – $400 N/A N/A $200 – $250 $100 –$500 $10 – $100 $0 –$5,600 N/A $250 – $1,500 Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Miriam’s Promise 522 Russell St Nashville, TN 37206 Deborah Robinson-(615) 292-3500 [email protected] www.miriamspromise.org 501(c)3 Status: Exempt SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study subsequent placement: USCIS Update USCIS Amended Home Study Report (where Miriam’s Promise did not complete the first home study) Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: USCIS: FBI Finger Prints: Foreign Fee: Exit Documents: Sealing documents: Other (please specify) RANGE OF FEE OR N/A N/A $200 $1,600 $1,200 $500 plus mileage for each visit at .55 per mile roundtrip to and from the office $700 plus mileage for each visit at .55 per mile roundtrip to and from the office $90/hour; $500-$700 when Miriam’s Promise did not complete them Free to agency clients; $200 for non-agency clients N/A $1,000 plus mileage for each visit at .55 per mile roundtrip to and from the office (retainer held in escrow due at time of home study release); As services are received – amounts are deducted from retainer at $200 each report plus mileage for each visit. At the end of completion of post placement supervision, if there is money remaining that amount is refunded to the client within 30 days. If for any reason services exceed the retainer amount – fees are billed and due at the time of service. $150 .55 per mile roundtrip to and from the office N/A N/A N/A N/A N/A N/A N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services New Beginnings International Children’s and Family Services, Inc. 512 South Church Street Murfreesboro, Tennessee 37130 Contact: Karen Nixon (662)231-4750 [email protected] www.newbeginningsadoptions.org 501(c)3 status: exempt Non-Profit SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) RANGE OF FEE OR N/A Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Options 4 Adoption, Inc. Local: 920 Woodmont Blvd, Unit O6, Nashville, TN, 37204 Main: 5957 Henley Drive, Powder Springs, GA, 30127 Kelly Barth, (770) 514-7324, [email protected] Agency Web Address www.options4adoptionc.com 501(c)3 Status: non exempt SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) RANGE OF FEE OR N/A 0 $100 $1450 non Hague, $1550 Hague + mileage $700 non Hague, $800 Hague 0 N/A $250 plus mileage N/A At current IRS guidelines N/A N/A N/A N/A N/A N/A N/A, we do not place children Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. Fee Schedule for Adoption Related Services FY2014 Fees for International Adoption Services Small World 1550 Suite 207 N. Mt. Juliet Rd. Mt. Juliet, TN 37122 Jim Savley – [email protected] www.swa.net Tax Exempt Non-Profit SERVICES Orientation or Agency Fee: Application Fee: Home Study: Home Study Update/Addendum: International Adoption Training: Dossier Preparation Assistance: Post Placement Supervision: Court Report & Sealing Records: Mileage/Travel: Extensive Consultation: Postage & Authentication Fees: CIS: FBI Finger Prints: Foreign Fee: Exit Documents: Other (please specify) RANGE OF FEE OR N/A $6,000 $300 $2,000 Update $1,200 – Addendum - Free Inclusive in Agency Fee $1,00 - $3000 N/A N/A N/A N/A N/A No Small World Fee No Small World Fee $8,000 - $15,000 $500 Travel – varies $2,000 - $8,000 Please note all fees are subject to change. Please contact the agency directly to verify fee status or to obtain additional information. End of Document
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