Please Read: State child welfare workers in Connecticut, New Jersey and Kansas must submit their referrals to their department’s International Liaison. ISS-USA cannot accept referrals directly. 

Instructions: Please complete all sections in as much detail as possible. 

 Download The Form ,complete all sections and email to question@iss-usa.org

You may request only ONE service per referral form. In order to request multiple services you must complete additional referral forms.