Get the free Child Enrollment For License-Exempt Facilities (DC-105) - Missouri ... - health mo

Missouri department of health and senior services' bureau of child care child s name child enrollment for license-exempt facilities SAVE PRINT RESET birthdate address (street, city, state, zip code)

How to fill out child enrollment for license-exempt

How to fill out child enrollment for license-exempt:

1. Obtain the child enrollment form from your local licensing agency or child care resource and referral agency. This form is typically required when providing child care services in a license-exempt setting.
2. Provide accurate and complete information about the child on the form. This may include the child's full name, date of birth, address, and any relevant medical or dietary information.
3. Include your own personal information as the child care provider. This may include your name, address, phone number, and any required background check or training certification.
4. Indicate the hours and days of operation for your license-exempt child care setting. This helps determine the availability of care for potential families.
5. If applicable, specify any restrictions or limitations on the number of children that can be cared for in your license-exempt setting. This ensures that you are operating within legal requirements.
6. Sign and date the form, acknowledging that the information provided is accurate and complete.
7. Submit the completed child enrollment form to the appropriate agency or organization as instructed. This may involve mailing, faxing, or hand-delivering the form.

Who needs child enrollment for license-exempt:

1. Individuals who provide child care services in a license-exempt setting typically need to complete a child enrollment form.
2. This includes caregivers who offer child care in their own homes, such as family child care providers or relative caregivers.
3. Child care programs operating outside of traditional child care centers, including before and after school programs or summer camps, may also be required to complete child enrollment forms in a license-exempt capacity.

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What is child enrollment for license-exempt?

Child enrollment for license-exempt is a process where parents or guardians provide information about their children to a childcare provider who is not required to have a license to operate.

Who is required to file child enrollment for license-exempt?

Parents or guardians are required to file child enrollment for license-exempt when they enroll their children in a childcare program that is not licensed.

How to fill out child enrollment for license-exempt?

To fill out child enrollment for license-exempt, parents or guardians need to provide basic information about their child such as name, age, and any medical conditions or allergies.

What is the purpose of child enrollment for license-exempt?

The purpose of child enrollment for license-exempt is to ensure that childcare providers have essential information about the children they care for in case of emergencies.

What information must be reported on child enrollment for license-exempt?

Information such as child's name, date of birth, parent/guardian contact information, emergency contacts, medical information, and permission to seek medical treatment in case of emergency must be reported on child enrollment for license-exempt.