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ENROLLING AS A LEGALLY EXEMPT CHILD CARE PROVIDER You can submit your enrollment form in person or by mail. All applicable sections of the enrollment form must be complete. Both the provider and the parent/caretaker must complete all applicable sections, review and sign the enrollment form.
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Child care providers who are not required by New York State law to be licensed or registered to operate a child day care program use this form to enroll with. If you do not complete all required sections of this form, you may not be considered for Child Care Assistance. OFFICE USE ONLY. Case #:. Application Date: S e. Forms in English ; CFWB-004, Proof of ID and Residency for Child Care Providers, Legally exempt family and in-home child care providers use this form to provide ... INSTRUCTIONS: Please PRINT clearly. This form MUST be completed by each applicant for child care provider, staff, volunteer and household member. If you are ... Enter the requested information. If helpful, use the worksheet to collect applicant information. Upload applicant documents: Signed SCR Database Check form ... The name, description or form of the entity which operates a school-age child care program does not affect its status as a school-age child care program. N.Y. ... New York State Forms. Form, Description, Pages. LDSS-2921: Application for ... LDSS-3174 – New York State Recertification Form for Certain Benefits and Services. Westchester County provides financial help with day care payments to eligible families. This financial help is known as Child Day Care Assistance. Jan 11, 2023 — Information about Form 2441, Child and Dependent Care Expenses, including recent updates, related forms, and instructions on how to file. Family Child Care Home (FCCH) Documents and Forms · Activity Plan · Application - Facility Profile · Application - Facility Profile - Español · Application for ...
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