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The Country School 5243 Laurel Canyon Blvd. Valley Village, CA 91607 Phone: 8187692473 Fax: 8187523097Elementary Extended Care Late Fee Slip I am late to pick up my child. I understand I will be charged
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How to fill out extended care form

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Start by obtaining an extended care form from the relevant authority or organization.
02
Read through the form carefully to understand the information and documentation required.
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Begin filling out the form by providing your personal details such as your full name, address, and contact information.
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If applicable, provide information about the person for whom the extended care is being sought, such as their name, relationship to you, and any relevant medical or health conditions.
05
Fill in the dates and times for which the extended care is needed, specifying the start and end times for each day.
06
Enter any specific requirements or instructions regarding the care needed, including medical needs, special dietary considerations, or additional support needed.
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If required, provide details of any medical practitioners, therapists, or healthcare professionals involved in the person's care.
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Attach any necessary supporting documents, such as medical reports, diagnoses, prescriptions, or statements from healthcare professionals.
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Review the completed form to ensure all the required fields are filled correctly and completely.
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Finally, sign and date the form, and make a copy for your records before submitting it to the designated authority or organization.

Who needs extended care form?

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The extended care form is typically required by individuals who need to arrange and request additional care or support for themselves or someone under their responsibility.
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This can include individuals with disabilities, chronic illnesses, or special medical needs who require assistance with daily activities, medical treatments, or supervision beyond what is considered standard.
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The extended care form is a document used to report expenses related to extended care services, typically required for tax purposes or for qualifying for certain benefits.
Individuals who have incurred qualifying expenses for extended care services and wish to claim tax deductions or benefits associated with those expenses are required to file the extended care form.
To fill out the extended care form, gather all relevant information and documentation about the extended care services received, follow the instructions provided on the form carefully, and complete all sections accurately, then submit it by the deadline.
The purpose of the extended care form is to provide a standardized way for individuals to report and document their expenses related to extended care services to the IRS or other relevant authorities.
The information that must be reported includes the type of extended care services received, the costs incurred, the dates of service, and any provider information required by the tax authority.
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