Get Statewide Provider Registration Application - Elc-marion

This guide provides step-by-step instructions to help you accurately complete the Statewide Provider Registration Application - Elc-marion online. By following these directions, you will ensure that your application is filled out correctly, facilitating a smooth registration process.

Follow the steps to effectively complete your application.

1. Use the 'Get Form' button to access the application form and open it in your editing tool.
2. Begin filling out Section I, where you will provide your private provider or public school information. Enter your provider name exactly as it appears on the Department of Children and Families (DCF) license or accreditation certificate. Include details such as your DCF Identification Number or Exemption Number, Employer Identification Number (EIN), and the complete address of your Voluntary Prekindergarten (VPK) site.
3. Continue in Section I by adding the city, county, zip code, daytime phone number, fax number, email address specific to the VPK site, and, if applicable, the mailing address if it differs from the VPK site. Ensure accuracy in these fields to avoid delays.
4. In Section II, indicate the type of setting you are registering for by checking the appropriate options. Include whether you are a licensed private provider, non-licensed private provider, or another relevant type. If applicable, specify the specialized program type and provide the district and school number if you are a public school.
5. In Section III, provide accreditation information if your provider is accredited. Include the total child capacity if you are a license-exempt private provider. Indicate the accrediting agency, ensuring it is a member of the recognized organizations.
6. After filling out all required sections, review your entries for accuracy. Once confirmed, save your changes. You can then download, print, or share the completed application form as necessary.

Complete your registration application online today for a streamlined process.