ISS-USA OUTGOING CASE REFERRAL FORM

For anyone NOT in Arizona, Massachusetts, New Jersey and Connecticut, please complete this downloadable form and submit to [email protected]

ISS-USA opens cases by service, not child. Please select all of the services you need on the referral form. You may submit additional referrals at any time.

 

State child welfare workers in Arizona, Massachusetts, and New Jersey must submit their referrals to their department’s International Liaison.

 

Connecticut Department of Children and Families (DCF) workers should use this form to refer a case. Contact [email protected] if you have questions about referring a case from one of these states.