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Get Pa Dhs Cd 353 2019-2026
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How to fill out the PA DHS CD 353 online
Filling out the PA DHS CD 353 form is essential for certified child care providers seeking to employ individuals on a provisional basis. This comprehensive guide will assist you in accurately completing the form online to ensure compliance with Pennsylvania's regulations.
Follow the steps to complete your Provisional Hire Waiver Request online.
- Click 'Get Form' button to obtain the form and open it in the editing interface.
- In Section 1, provide identification information. Complete all required fields such as location name, legal entity name, physical address, mailing address, and contact details of the responsible person.
- Read Section 2 carefully, which describes the provisional hire requirements for the waiver. Familiarize yourself with all conditions and ensure that your request meets them before proceeding.
- Move to Section 3 and confirm that all additional requirements for the waiver are satisfied. Here, you must acknowledge each provision and ensure compliance.
- In Section 4, clearly state the reason for requesting the waiver. Ensure you provide a detailed explanation to support your application.
- Complete Section 5 by certifying that you will meet all requirements listed in the waiver request application. Provide signatures, titles, and dates as necessary.
- Finally, fill out Section 6 to indicate how the Department of Human Services should respond regarding approval or further questions. Choose only one response method from email, fax, or mail.
- Once all sections are completed, save your changes, and ensure to download or print the form if needed. Retain a signed copy for your records before submitting it through your chosen method.
Complete your PA DHS CD 353 form online now to ensure timely processing of your provisional hire waiver request.
Conducted by Certification Representatives from the Office of Child Development and Early Learning (OCDEL), under the Department of Human Services (DHS), the annual unannounced inspections will help family child care homes meet regulatory standards for providing safe and healthy environments for children.
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