WA DCYF 15-961 2019 free printable template
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Child Care
Waiver (Exception) Request
Early Learning Program Information
Provider Name:Provider ID #:Mailing Address:City:Telephone:Email:Early Learning Program Type (check all that apply):
Family
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01
Download the WA DCYF 15-961 form from the official website.
02
Read the instructions carefully to ensure you understand each section of the form.
03
Fill in your personal information, including your name, address, phone number, and email.
04
Provide detailed information about the child or individual involved, including their name, date of birth, and relation to you.
05
Answer all questions accurately, providing any necessary documentation as required.
06
Review your completed form for any errors or omissions.
07
Sign and date the form where indicated.
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Submit the form according to the instructions, either by mail or electronically, ensuring it is sent to the correct address.
Who needs WA DCYF 15-961?
01
Parents or guardians seeking visitation rights or custody arrangements.
02
Individuals involved in child welfare cases.
03
Anyone needing to report child abuse or neglect.
04
Service providers looking to assess or assist a child in care.
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What is WA DCYF 15-961?
WA DCYF 15-961 is a form used by the Washington State Department of Children, Youth, and Families (DCYF) for reporting information related to the care and services provided to children and families.
Who is required to file WA DCYF 15-961?
Individuals and organizations involved in the care of children, such as foster parents, group homes, and child care providers, are typically required to file WA DCYF 15-961.
How to fill out WA DCYF 15-961?
To fill out WA DCYF 15-961, you should provide accurate and complete information about the child, their circumstances, and the services provided, following the instructions provided with the form.
What is the purpose of WA DCYF 15-961?
The purpose of WA DCYF 15-961 is to gather important data regarding the welfare of children under DCYF care, ensuring they receive the necessary support and services.
What information must be reported on WA DCYF 15-961?
The information reported on WA DCYF 15-961 typically includes details about the child's demographic information, the nature of the services provided, and any relevant observations regarding the child's well-being.
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