Get Dhs 4025

The Dhs 4025 is a crucial form required for child development and care provider verification. This guide will provide clear, step-by-step instructions on how to fill out this form online to facilitate a smooth process for users with varying levels of experience in filling out legal documents.

Follow the steps to complete the Dhs 4025 accurately.

1. Press the ‘Get Form’ button to access the Dhs 4025 document and open it in your preferred editor.
2. Complete the fields for case name, case number, and date as prompted at the top of the form.
3. Fill in the DHS office details, specialist name, and contact information, including phone and fax numbers.
4. Identify yourself as either the child care provider or the child care center director by filling in your name and any associated titles.
5. For child care center providers, enter the child care center name and address including city, state, and zip code.
6. Complete the provider ID number and telephone number sections appropriately.
7. Indicate if you receive any reimbursement for caring for any of the children listed and specify from whom.
8. Select where you provide child care by checking only one box: child care center, home where the child lives, group child care home, or family child care home.
9. List all children in your care along with their case number, date of birth, date care began, and indicate whether you are related to each child, providing their relationship if applicable.
10. Both the parent and you as the provider must read and certify your agreement to the statements on page 2. Ensure signatures and dates are included before submission.
11. Save changes, then download, print, or share the completed Dhs 4025 form as required. Return the form to your specialist at the local DHS office.

Start completing the Dhs 4025 online today to ensure prompt processing of child care subsidies.