RTC Requests from Schools/Parents

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Residental Placement Checklists

Specific documents must be included in each ICPC request. OCFS has developed checklists to assist parents/guardians and school districts in completing an ICPC request for placement of a child into a Residential Treatment Center, in accordance with Regulation 4 of the ICPC.

Select a checklist:

  • Residential Placement Checklist for School Districts: OCFS-5050i
  • Residential Placement Checklist for Parents/Guardians: OCFS-5050j

All requests require the following forms:

Additional Resources

Contact New York State ICPC

ICPC requests should be mailed to:

Address:
NYS OCFS - ICPC Unit
52 Washington Street
Rooms 331-332 North Building
Rensselaer, NY 12144

The New York State ICPC office can be reached at:

Phone:
518-474-9406
Email:
ocfs.sm.NYSICPC@ocfs.ny.gov