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DO NOT COMPLETE (LRC Use Only): Provider ID: ___MPI ID: ___AMERICAN RESCUE PLAN ACT (ARPA) CHILD CARE PROVIDER STABILIZATION GRANTS APPLICATION FOR RELATIVE PROVIDERS The American Rescue Plan Act
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Download the arpa-declination-form-for-certified-providers-pdf from the official website or request it from the relevant authority.
02
Fill in your personal details such as name, address, contact information, etc.
03
Read the declaration carefully and sign the form to indicate your decision to decline participation in the ARPA program.
04
Submit the completed form to the appropriate office or department as instructed.

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01
Certified providers who have been invited to participate in the ARPA program but wish to decline the offer.
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The arpa-declination-form-for-certified-providers-pdf is a form used by certified providers to decline participation in a specific program.
Certified providers who choose not to participate in a certain program are required to file the arpa-declination-form-for-certified-providers-pdf.
To fill out the arpa-declination-form-for-certified-providers-pdf, certified providers must provide their basic information, program details, and reasons for declining participation.
The purpose of the arpa-declination-form-for-certified-providers-pdf is to officially document a certified provider's decision to opt out of a specific program.
On the arpa-declination-form-for-certified-providers-pdf, certified providers must report their name, contact information, program name, program details, and reasons for declining participation.
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