Get the free Healthy Start Site Form - mchb hrsa
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OMB Number: 09150298
Expiration Date: 8/31/2025HEALTHY START SITE FORM
Section 1. Grantee Primary Organization Information
Grant #___
Grantee Name ___
Street Address___
City___ State ___ ZIP Code___Service
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How to fill out healthy start site form
How to fill out healthy start site form
01
Visit the Healthy Start website
02
Click on the form link for the Healthy Start site
03
Fill out the required personal information such as name, address, and contact information
04
Answer the questions related to your health and dietary needs
05
Submit the form online or print it out and mail it to the specified address
Who needs healthy start site form?
01
Individuals who are pregnant, breastfeeding, or have young children
02
Those who meet the income qualifications for the Healthy Start program
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What is healthy start site form?
The healthy start site form is a document that ensures facilities providing child care services meet health and safety standards.
Who is required to file healthy start site form?
Any facility that provides child care services must file a healthy start site form.
How to fill out healthy start site form?
Healthy start site form can be filled out by providing information about the facility, its staff, health and safety procedures, and other relevant details.
What is the purpose of healthy start site form?
The purpose of healthy start site form is to ensure that child care facilities maintain a safe and healthy environment for children in their care.
What information must be reported on healthy start site form?
Information such as facility details, staff qualifications, health and safety procedures, emergency plans, and other relevant information must be reported on the healthy start site form.
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