Get Mo Dss Cd-269 2021-2025

The MO DSS CD-269 form is essential for registered child care providers in Missouri, enabling them to formalize their agreement to provide services to children. This guide offers clear, step-by-step instructions to assist you in completing the form accurately and efficiently online.

Follow the steps to complete the MO DSS CD-269 form online.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor for editing.
2. Begin by entering the agreement period at the top of the form, ensuring that the exact begin and end date stated on your Certificate of Registration is included.
3. Fill in your provider name and the assigned DVN (Departmental Vendor Number) from the Missouri Department of Social Services.
4. Provide details regarding your address and the address where care is provided, ensuring all fields are filled accurately.
5. List your contact information including phone numbers and email address. Ensure the email address is correct as it is required for correspondence.
6. Indicate whether your child care business operates in your home and select the appropriate box about the limit of children you will care for.
7. Detail your child care operating hours to comply with requirements set forth by the Missouri Department of Social Services.
8. Make necessary certifications by checking the applicable boxes regarding your compliance with TB screenings, health assessments, and training completion.
9. Sign and date the form at the bottom to confirm your agreement to abide by the provided conditions.
10. Once you have completed filling out the form, you can save your changes, download a copy, print it, or share it as needed.

Complete your MO DSS CD-269 form online today to ensure a smooth process in providing child care services.