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Submit by Email POM INSURANCE, LLC PHONE 4438787417 FAX 4433787577 Print Form THANE POMINSURE.COM CHILDCARE APPLICATION Producer Name: Producer Address: Date: BASIC INFORMATION Proposed Expiration
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Childcare application basic information includes details such as the child's name, age, parent/guardian contact information, medical information, and emergency contacts.
Parents or legal guardians are required to file childcare application basic information.
Childcare application basic information can be filled out either online or on paper forms provided by the childcare facility.
The purpose of childcare application basic information is to ensure the safety and well-being of the child while in the care of the childcare facility.
Childcare application basic information must include the child's personal details, medical history, allergies, special needs, and emergency contact information.
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