Get the free Child Care Provider Information Sheet

O. BOX 18100 HAUPPAUGE NY 11788-8900 Form CCB-6010-007 Rev. 03/2015 www. suffolkcountyny. gov/departments/socialservices Child Care Unit Fax 631 854-3331. Attach additional sheets if needed. Applicant/Recipient Name Case if applicable 1 Provider Name Provider Phone Provider Address Date Child Care Started if applicable Child s Name Child s Date Of Birth Days of Week Child Care is Needed / Provided M Tu W Th F St Sn Hours child is in care AM to PM PM to AM child care needed during school...

How to fill out child care provider information

How to fill out child care provider information

1. Review the child care provider information form to understand what information is required.
2. Start by entering the basic details of the child care provider such as their name, address, and contact information.
3. Provide information about the child care provider's qualifications, certifications, and experience in the child care field.
4. Include details about the child care provider's availability, hours of operation, and any special services they offer.
5. Make sure to provide accurate information about the child care provider's rates, fees, and payment options.
6. Include any additional information or requirements that parents should be aware of, such as emergency procedures or medication policies.
7. Finally, review the completed child care provider information form for accuracy and completeness before submitting it.

Who needs child care provider information?

1. Parents or guardians who are looking for child care services for their children.
2. Child care agencies or organizations that require information about potential child care providers.
3. Government agencies that oversee child care programs and need to collect information about child care providers.
4. Educational institutions that offer child care services on campus and need to maintain records of child care providers.
5. Community centers or recreational facilities that offer child care programs and need to gather information about child care providers.
6. Any individual or organization involved in the child care industry or seeking child care services.

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