Get Lic610

Filling out the Lic610 is an essential step in preparing an emergency disaster plan for child care centers. This guide will help you navigate the online form efficiently, ensuring all required information is accurately provided.

Follow the steps to complete your Lic610 form online.

1. Click ‘Get Form’ button to access the Lic610 form and open it in your preferred online editor.
2. Start by entering the name of your facility in the designated field. This should match the registered name with the appropriate licensing authority.
3. Fill in the facility address. Ensure you include the complete street address, city, state, and ZIP code for accurate identification.
4. Enter the administrator's name along with their contact telephone number to ensure that emergency contacts are clear.
5. In the assignments section, list staff members and their specific emergency roles. Use the provided structure to ensure clarity in responsibilities during an emergency.
6. Compile a list of emergency names and telephone numbers. This should include local police, fire departments, hospitals, and any other relevant agencies.
7. Indicate the facility exit locations clearly by referencing the facility sketch. Number these exits for ease of understanding during an emergency.
8. Provide temporary relocation sites if applicable. Include the names, addresses, and contact numbers for these sites, ensuring you have permission where necessary.
9. Identify utility shut-off locations. Fill in details for electricity, water, and gas shut-off points, referencing them on your facility sketch as required.
10. Detail the location of the first aid kit and any necessary safety equipment such as smoke detectors and fire extinguishers.
11. Complete the affirmation statement by having the administrator sign and date the form to confirm responsibility for the emergency plan.
12. Review all entered information for accuracy. Once confirmed, save the changes, and then select the options to download or print the completed form for your records.

Complete your Lic610 form online today to ensure your child care center is prepared for any emergency.