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Get Kansas Ccl 009 Form
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How to fill out the Kansas Ccl 009 Form online
The Kansas Ccl 009 Form is a vital document that requires accurate completion for individuals over the age of 16 caring for children. This guide will provide you with a straightforward, step-by-step approach to filling out the form online, ensuring that you can complete it with confidence and clarity.
Follow the steps to complete the Kansas Ccl 009 Form effectively.
- Press the ‘Get Form’ button to access the Kansas Ccl 009 Form and open it in your preferred online document editor.
- Provide the name of the facility exactly as it appears on the license or certificate. Input the facility’s License/Certificate number, and then fill in the street address, city, zip code, and county of the facility.
- Select the type of child care facility by checking the appropriate box from the following options: Regular Family Day Care Home, Preschool, Attendant Care Facility, Maternity Center, Licensed Day Care Home, School Age Program, Detention Center, Residential Center, Group Day Care Home, Family Foster Home, Secure Residential Treatment Facility, or Child Care Center.
- Enter the name of the provider or staff member, including first, middle, and last name. Then, input the date of birth in MM/DD/YYYY format.
- Indicate answers to the health-related questions by checking 'Yes' or 'No' for each. If any answer is 'Yes', provide additional explanations as needed.
- Complete the section meant for the licensed physician or nurse trained to perform health assessments. This includes reviewing the above information and conducting any necessary examinations or tests.
- The licensed physician or nurse must sign one of the statements provided, indicating whether there is evidence of physical or mental illness that could affect the care of children.
- Record the results of the TB test or attach the test results to the form. Indicate whether the test was negative and provide the date tested along with the name of the person who conducted the test.
- Finally, ensure all fields are complete and accurate before saving your changes. You may download, print, or share the form as needed.
Complete your Kansas Ccl 009 Form online today for a streamlined and efficient filing process.
Yes, you can file a petition without a lawyer in Kansas. Many individuals successfully navigate the process, especially by using standardized forms. The Kansas Ccl 009 Form offers a structured way for you to present your case effectively, even if you choose to handle it on your own.
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