Get Wa Dcyf 15-966 2019-2025

The WA DCYF 15-966 form is a crucial document for early learning providers in Washington, mandated to establish a formal agreement with a child care health consultant. Filling out this form accurately ensures that staff are supported in promoting the health and safety of infants in care.

Follow the steps to complete the WA DCYF 15-966 online:

1. Press the ‘Get Form’ button to obtain the form and access it in an editable format.
2. Enter the early learning program's name in the designated field.
3. Fill in the contact name for the early learning program, including their street address, city, state, and zip code.
4. Provide the phone number and email address for the early learning program.
5. In the next section, enter the contact name for the child care health consultant along with their street address, city, state, and zip code.
6. Fill out the phone number and email address for the child care health consultant.
7. Review the agreement section to ensure it reflects the obligations of the child care health consultant.
8. Make sure to include information about the required monthly on-site visits and documentation of each visit.
9. After completing the form, ensure all signatures are added where indicated, confirming the agreement by both parties.
10. Finally, save your changes, then download, print, or share the completed form as needed.

Complete your documents online today for a smoother filing process.