Get Mo Dss Cd-269 2021

Filling out the Missouri Department of Social Services Child Care Provider Agreement, known as the MO DSS CD-269, is crucial for those providing care for six or fewer children. This guide offers a step-by-step approach to help users complete the form efficiently online.

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

1. Press the ‘Get Form’ button to access the form and open it in your editor.
2. Enter the provider name in the designated field. Ensure that the name matches what is listed on the Certificate of Registration issued by the Department.
3. Fill in the Departmental Vendor Number (DVN) assigned by the DSS. This number is essential for identification purposes.
4. Specify the agreement period by indicating the exact start and end dates as stated on the Certificate of Registration.
5. Complete the address fields where care will be provided. Ensure all information is accurate to facilitate any required correspondence.
6. Provide contact information including phone numbers and email address. Make sure to enter a valid email as it is required for communication from the Department.
7. Indicate whether the child care business operates in your home or the child's home by checking the appropriate box.
8. Select the hours during which care is provided. You can check multiple options if applicable.
9. Certify understanding by checking the boxes related to the care limit and health assessments. These affirm compliance with state regulations.
10. Review all provided information for accuracy. It is vital to ensure that there are no errors as this may delay processing.
11. Once completed, save your changes. Options to download or print the form should be available after reviewing.
12. Submit the agreement via email, fax, or mail as detailed in the form instructions, ensuring that you adhere to any submission deadlines.

Complete your documents online today to ensure prompt service processing.