Get Lic 613a

Filling out the Lic 613a form is an important step in ensuring that child care centers uphold personal rights. This guide will walk you through the process of completing this form online, ensuring that you understand each section and its purpose.

Follow the steps to complete the Lic 613a form online effectively.

1. Select the 'Get Form' button to access the Lic 613a form and open it for editing.
2. In the first section, provide the name of the facility by printing it clearly in the designated area. Use the full, registered name of the child care center.
3. Next, print the address of the facility in the appropriate field, ensuring all details such as street, city, state, and zip code are accurately recorded.
4. Print the name of the child receiving services in the space provided. Ensure this is the full legal name to avoid any discrepancies.
5. In the acknowledgment section, the representative, parent, or guardian should sign, followed by printing their title if applicable. This signifies understanding and acceptance of the personal rights outlined.
6. Finally, date the form by entering the date of completion in the specified field, ensuring that the date is accurate at the time of signing.
7. Once all sections are filled out, review the form for completeness and accuracy. You can then save your changes, download the document, print a hard copy, or share it as needed.

Complete your Lic 613a form online today to ensure compliance with personal rights for child care centers.