Get Wa Dcyf 15-961 2021-2025

The WA DCYF 15-961 form is essential for requesting a waiver from child care licensing rules. This guide provides a comprehensive overview of the form's components and offers step-by-step instructions to assist users in completing it accurately and effectively.

Follow the steps to complete the form with confidence.

1. Click ‘Get Form’ button to access the WA DCYF 15-961 form and open it in the online editor.
2. In the section labeled 'Provider Name,' enter the name of your child care program or facility.
3. Next, input your 'Provider ID #' to identify your program within the system.
4. Provide your mailing address, including the 'City,' 'State,' and 'Zip Code' fields.
5. Fill in the 'Telephone' number where you can be reached, followed by your 'Email' address for any correspondence.
6. For 'Program Type,' check all applicable types that describe your child care program, such as Family Home Child Care, Child Care Center, etc.
7. In the 'Waiver Request Details' section, specify the relevant WAC (Washington Administrative Code) number from which you are requesting a waiver.
8. Describe in detail the reasons for your waiver request. Ensure to explain the specific needs of your program or an enrolled child, and attach additional pages if needed.
9. Explain how you will maintain health, welfare, and safety standards for all children if the waiver is granted, again attaching additional pages if necessary.
10. Indicate the requested waiver (exception) dates in the format 'program' through 'end date' or specify 'No end date' for ongoing requests.
11. Lastly, sign the form in the section labeled 'Signature of person submitting this request,' and ensure to print your name and include the date.
12. Submit the completed form to your local DCYF child care licensing office for review.

Start filling out the WA DCYF 15-961 online today to ensure your request is processed efficiently.