Get Child Transfer Request - Elc Of Pinellas County

The Child Transfer Request form is an essential document for parents or guardians seeking to transfer their child's childcare provider in Pinellas County. This guide will provide step-by-step instructions on how to fill out this form online, ensuring a smooth transfer process.

Follow the steps to complete your Child Transfer Request form online.

1. Click ‘Get Form’ button to obtain the form and open it in your online editor.
2. Enter the current date in the designated field at the top of the form.
3. Fill in the parent or guardian's name completely in the corresponding space.
4. If you wish, provide your Social Security Number in the optional field.
5. Complete the mailing address section with your current address.
6. Provide a contact phone number where you can be reached.
7. For each child needing a transfer, fill out the section with their current provider's name.
8. Specify the current provider’s authorized designee by printing their name below the provider's name.
9. The authorized designee must sign in the provided space to confirm the transfer request.
10. Indicate the provider's EIN or the last four digits of the SSN if applicable.
11. Answer whether fees are owed by checking 'Yes' or 'No' and if applicable, enter the amount owed.
12. Select your voucher delivery preference: either by mail or pick up at Clearwater or St. Pete, ensuring to check the appropriate box.
13. Read the statement confirming the requirement for the provider's signature and your acknowledgment of the transfer process.
14. Sign and date the form to validate your request before submission.
15. Ensure all information is accurate, save your changes, download a copy for your records, and share the form if needed.

Complete your Child Transfer Request form online today to ensure a seamless transition for your child's childcare.