Follow the steps to complete the application successfully.

1. Press the ‘Get Form’ button to access the application form. This will allow you to open the document in an editable format.
2. Begin with Section 1, which requires facility information. Fill in the type of application you are submitting: Initial, Renewal, Change of Ownership, Revision of Existing Registration, Change of Location, or Change of Operator. Provide the name of the child care facility, along with contact details including telephone numbers and addresses.
3. Proceed to Section 2 to provide program information. Indicate the days and hours of operation for your facility. Specify the age groups you cater to and the types of services offered, such as full day or half day care.
4. In Section 3, fill out the real property information, including the name and mailing address of the property owner, as well as their contact number.
5. Complete Section 4 regarding ownership type. Specify whether the ownership is corporate, individual, or another entity. Depending on your selection, you may need to attach additional documentation.
6. Section 5 requires on-site operator information. Provide the full name, address, telephone number, and date of birth of the operator. Answer any questions regarding previous names or criminal history as applicable.
7. In Section 6, the attestation section must be completed by all applicants. Confirm any previous license denials or disciplinary actions, and ensure that you understand the legal obligations regarding background screenings.
8. Finally, review all sections to ensure accuracy and completeness. Save your completed form before downloading or printing it. The option to share the form digitally may also be available.

Complete your application online today to ensure compliance and registration for your child care facility.