Get Third Party Service Provider Request Form - Anchor Academy - Ark

Filling out the Third Party Service Provider Request Form is an essential step for obtaining services for students through Anchor Academy. This guide provides clear instructions to assist you in completing the form accurately and efficiently, ensuring all necessary information is provided.

Follow the steps to successfully complete the form

1. Click ‘Get Form’ button to access the Third Party Service Provider Request Form and open it in your preferred editor.
2. Enter your and your child's information in the respective fields. Ensure to include full legal names, ages, and contact details.
3. Identify the service provider by filling out their information, including name, contact details, and mailing address.
4. Provide detailed descriptions of the services needed along with the associated costs. Be sure to break down the amounts by month or specify the dates for any sessions.
5. Ensure that the parent initials the acknowledgment of responsibility for any amounts that exceed available Anchor Credit Allocation (ACA).
6. Review all entered information for accuracy. It is essential to double-check all fields, especially the email and phone numbers provided.
7. Submit the completed form to the appropriate Anchor Academy teacher for authorization. You can do this online, by email, or by fax.
8. Once authorized by the teacher, ensure that the form is submitted to the office for processing and inclusion in the ACA account.
9. After submission, you may save changes, download, print, or share the form as needed for your records.

Complete your forms online today for a streamlined processing experience.