Follow the steps to successfully complete the CCAP 15R form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your Worker ID and Parish at the top of the form. These details help to identify your application correctly.
3. Fill in the Provider Certification section with the name of your child care facility, TIPS Provider Number, and License Number if applicable.
4. Provide your physical street address, mailing address (if different), city, state, and zip code for proper identification.
5. Include your phone number, cell phone number, and email address to ensure effective communication.
6. Check all applicable boxes to specify the type of child care you provide, including options like Type III Early Learning Center or Family Child Care Provider.
7. Provide site capacity, number of CCAP children, and number of vacancies in the designated fields.
8. Indicate whether you charge a registration or enrollment fee, the amount charged, and whether it's collected one time or annually.
9. Fill out the rates charged per child for all age groups, including full-time and part-time care. Be sure to complete both sections even if you do not currently care for children in every age group.
10. If applicable, indicate whether you provide special needs care and fill out the corresponding rates for special needs care.
11. Review the Agreement Timeframes section, providing your signature, printed name, title, and the date to finalize your agreement.
12. Once all fields are completed, save your changes, download, print, or share the form as needed.

Complete your CCAP 15R form online today to ensure you receive the assistance you need.