Get Child Development And Care Provider Verification

This guide provides clear instructions for completing the CHILD DEVELOPMENT AND CARE PROVIDER VERIFICATION form. Follow the steps outlined to ensure accurate and efficient submission of your information.

Follow the steps to successfully complete your verification form.

1. Click the ‘Get Form’ button to access the verification form and open it in an online editor.
2. Begin by filling in the case name, case number, date, and the contact information of your specialist, including their phone and fax numbers, and specialist ID.
3. Indicate your child care provider or child care center director name, child care center name (if applicable), address including number and street, city, state, zip code, and provider ID number.
4. Provide details of your child care services by checking all applicable care locations, such as child care center, family child care home, or my home.
5. List all children in the parent/substitute parent’s family who are in your care by including their date of birth, date care began, and specifying if you are related to each child.
6. Both the parent and provider must read and certify their agreement to the statements on page 2 of the form. Sign and date where indicated.
7. Once the form is completed, return it to your local DHS office's specialist. Make sure to keep a copy for your records.
8. You will receive a notification from DHS regarding the authorization of care. Save changes, download, print, or share the completed form as needed.

Complete the CHILD DEVELOPMENT AND CARE PROVIDER VERIFICATION online today to ensure your child care services are properly managed.