Get Household And Personnel Form Cclu 1-b

The Household And Personnel Form CCLU 1-B is an essential document required for all new staff and household members involved in child care services. This guide will provide you with clear, step-by-step instructions on how to accurately complete the form online, ensuring a smooth submission process.

Follow the steps to fill out the form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the program name, address, and license number. Ensure that all fields are complete; otherwise, the form will not be accepted.
3. Input the last name (including maiden name), first name, and middle initial of the person applying. Be sure to include any previous names if applicable.
4. Provide the date of birth in the format MM/DD/YY.
5. If the individual is 18 years or older, include their child care eligibility card number and expiration date, if available.
6. Enter today’s date and the employee start date for the person being reported.
7. Specify the household member status by indicating whether they reside at the child care location but are not employees.
8. Identify the position the individual is hired for, selecting one from the predefined list of roles.
9. List all states where the person has lived in the last five years, providing dates and cities as needed. If more space is required, attach an additional sheet.
10. Fill in the current mailing address, and if different, the current physical address.
11. Provide details of any previous child care employment in New Hampshire over the past six months, including start dates, program names, and towns.
12. Review the swearing statement to affirm the accuracy of the information provided, ensuring all legal requirements are met.
13. Sign and date the form. If the individual is under 18, the printed name and signature of a parent or legal guardian are required along with their relationship to the minor.
14. After completing the form, save your changes, and then download, print, or share the completed form as needed.

Complete the Household And Personnel Form CCLU 1-B online to ensure compliance and proper documentation.