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ENROLLMENT FORM Maintain enrollment forms required by child care licensing and CA CFP federal regulations for each participant. Enrollment Forms must: 1. Be updated annually and signed by a parent
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How to fill out TN UCHRA Addendum to Enrollment Form for Child Care

01
Obtain the TN UCHRA Addendum to Enrollment Form for Child Care from the UCHRA website or your local UCHRA office.
02
Read the instructions provided at the top of the form carefully.
03
Fill in the child's full name and date of birth in the designated fields.
04
Provide the parent or guardian's contact information, including phone number and address.
05
Indicate the type of child care services needed.
06
Complete any sections regarding income information or family size as requested.
07
Review all the information for accuracy.
08
Sign and date the form at the bottom.
09
Submit the completed form to your local UCHRA office either in person, by mail, or electronically as instructed.

Who needs TN UCHRA Addendum to Enrollment Form for Child Care?

01
Families seeking financial assistance for child care services through the UCHRA program.
02
Parents or guardians enrolling their children in a child care program funded by UCHRA.
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The TN UCHRA Addendum to Enrollment Form for Child Care is a supplemental form used by the Upper Cumberland Human Resource Agency that gathers specific information required for enrollment in child care programs.
Parents or guardians who are seeking assistance or enrollment in child care programs provided or funded by the Upper Cumberland Human Resource Agency are required to file the TN UCHRA Addendum.
To fill out the TN UCHRA Addendum, you should provide accurate personal and household information, details about your child, and any required documentation requested in the form instructions.
The purpose of the TN UCHRA Addendum is to ensure that the agency collects all necessary information to determine eligibility for child care services and to allocate resources effectively.
The information required typically includes family income, number of household members, details about the child needing care, and any specific needs or considerations for that child.
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