Get Dss Form 2905

Filling out the Dss Form 2905 online is a straightforward process designed to assist new applicants for child care facility inspections. This guide will provide step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Dss Form 2905 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by selecting the type of facility from the options provided: Child Care Center, Faith-Based Facility, Group Child Care Home, or Family Child Care Home.
3. Enter the facility name in the designated field.
4. Select the county where your facility is located from the dropdown menu.
5. Indicate the days of operation by checking all days that apply: Monday, Tuesday, Wednesday, Thursday, Friday, Saturday, and Sunday.
6. Provide the facility's address, including the city and zip code.
7. Input the telephone number for the facility.
8. Fill in the name of the Director or Operator responsible for the facility.
9. Specify whether overnight care is provided by selecting 'Yes' or 'No.'
10. Complete the hours of operation field, noting if care is provided anytime between 1:00 AM and 5:00 AM.
11. List the name and telephone number of the facility contact person, choosing their role from the provided options.
12. Describe all buildings or portables within licensed or registered facilities and all rooms used for child care.
13. The Director or Operator should provide their signature and date the form.
14. Include directions to the facility, providing specific details for easier location.
15. Select the type of inspection requested by checking the appropriate option for new application, new construction, renovation, or renewal.
16. Indicate to whom the inspection report should be mailed and the address for the DSS Child Care Licensing Specialist.
17. Once everything is filled out, save your changes, then download, print, or share the completed form as needed.

Start completing your Dss Form 2905 online today and ensure your application process runs smoothly.