Agency Information

Name

Enter the name of the agency. You can enter up to 100 characters. When you add a new agency, this field displays the name you entered as part of your search criteria. This field is required.

Agency Type

Select Public or Private to identify the type of agency.

IV-E Flag

Select this check box of the agency can accept IV-E payments.

Agency pays for last day of placement

Select this check box if the agency pays providers for the last day a child is in placement.

Office

Select Main or Branch to indicate the type of office. If you select Branch, you must select the parent agency.

Parent Agency

This field appears when you select Branch in the Office field. Select the main agency of which this agency is a branch.

Address, County

The system automatically fills in these fields when you click Address Search. You must search for and then select or add the agency address.

Accreditations

Select the check box next to each accreditation this agency has completed.

Inactivate Agency

Select this check box to inactivate the agency. Clear the check mark to re-activate the agency. This check box should be used only by State administrators.

Comments

Enter the reason for inactivating or re-activating the agency, or for making any other change to the agency record. You can enter up to 200 characters.