Get Deccd

Filling out the Deccd form for the Mississippi Child Care Payment Program can be a straightforward process if you follow the right steps. This guide provides clear instructions on how to complete the form to ensure that all necessary information is accurately submitted.

Follow the steps to complete the Deccd form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the facility information section. Fill in the owner name, phone number, director name, and date of birth. Provide the child care facility name and physical address, including the city, state, and ZIP code.
3. Indicate if the mailing address is the same as the physical address. If not, provide the mailing address along with the city, state, and ZIP code.
4. Complete the days of operation by checking all that apply, and fill in the hours of operation for weekdays and weekends.
5. Select the appropriate license type from the provided options and, if license exempt, provide the necessary documentation.
6. In the rate information section, indicate the rates for each care level and age group by providing the corresponding dollar amounts for both full-time and part-time care.
7. Fill in the director qualifications section by checking all applicable education qualifications and indicating the number of years of paid work experience in a child care facility.
8. Complete any additional required documentation, including a copy of the current license from the Department of Health, the director’s diploma, a W-9 form, and a signed Provider Statement of Agreement.
9. Review all entries for accuracy, then save changes, download a copy for your records, or print the completed form for submission.

Start filling out your Deccd form online today to ensure a smooth application process.