Get Lic 613a

Filling out the Lic 613a form is an essential process for ensuring that personal rights are acknowledged in a child care facility. This guide provides step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the Lic 613a form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in the name of the facility in the designated area. This information is crucial as it identifies where the acknowledgment of personal rights applies.
3. Next, include the complete address of the facility. Ensure that details such as the street address, city, and ZIP code are accurately presented.
4. In the field for the child’s name, print the full name of the child who will be receiving care at the facility. This ensures that the acknowledgment pertains specifically to them.
5. The next section requires the signature of the representative, parent, or guardian. Ensure that the person signing has the appropriate authority to do so.
6. In the title section, provide the title of the representative, parent, or guardian as applicable. This adds clarity to the acknowledgment.
7. Finally, record the date on which the acknowledgment is being signed. This is important for record-keeping purposes and compliance.
8. After reviewing the completed form for accuracy, you can save any changes made, download a copy for your records, print it, or share it as required.

Start completing your Lic 613a form online today to ensure full compliance with personal rights in child care facilities.