
HELPING HANDS, INC. 5522 S 3200 W Suite 110 Taylorsville, UT 84129 Phone: (801) 9556234 forms helpinghandsutah.orgFDCH Child EnrollmentProvider NamePhone NumberParent/Guardian NamePhone NumberParents.
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How to fill out the UT Helping Hands FDCH Child Enrollment online
Filling out the UT Helping Hands FDCH Child Enrollment form online is a crucial step in ensuring your child receives care and nutrition services. This guide will provide you with clear, step-by-step instructions on how to accurately complete each section of the form.
Follow the steps to complete the enrollment form successfully.
- Click ‘Get Form’ button to obtain the form and open it in your editor.
- Begin filling out the provider information at the top of the form. Enter the 'Provider Name' and 'Phone Number' as well as the 'Parent/Guardian Name' and their 'Phone Number'.
- Provide the 'Parent’s Address', including 'City' and 'ZIP Code'. Ensuring this information is accurate is vital for communication purposes.
- In the 'Enrolled Child's Full Name (Nickname)' section, write the complete name of your child along with their preferred nickname. Proceed to fill out the 'Birth Date' and select the 'Sex' from the available options.
- For the relationship section, choose how the child is related to the provider, marking the appropriate box for options such as 'son/daughter' or 'grandson/granddaughter'.
- Indicate the 'Times of Arrival to Provider & Departure' by specifying the arrival and departure times, and select the corresponding 'School Information.' Include the 'Time Child in School' and the specific 'Days Child Attends School'.
- Fill out the race and ethnic background section, which is optional under Title IV of the Civil Rights Act. Record the appropriate codes as needed.
- Under 'Usual Days in Care,' check the days your child will attend and in 'Usual Meals Child(ren) will be served', denote the type of meals your child will be receiving from the provider.
- If your child is under one year old, ensure you complete the infant section regarding meals and formula preferences.
- Answer the questions about school age children, special dietary needs, or accommodations for disabilities. If applicable, you will need to provide additional medical notes.
- Sign and date the form where indicated for both parent/guardian and provider. Ensure that all information provided is accurate and truthful.
- Finally, save your changes, and if necessary, download, print, or share the completed form as required.
Complete the UT Helping Hands FDCH Child Enrollment form online today to ensure your child receives educational support and meals.
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