
APPLICATION FOR ENROLLMENT TO BE A PROVIDER OF SUBSIDIZED CHILD CARE FOR AGENCY USE ONLY: Child Care Social Workers Name Parents Name County Case # County Requesting Enrollment PROVIDER DIRECTIONS:.
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How to use or fill out the DCD-0451 - NC DHHS Online Publications - Info Dhhs State Nc online
The DCD-0451 form is an application for enrollment to become a provider of subsidized child care in North Carolina. This guide provides step-by-step instructions to assist you in completing the form correctly. Taking the time to fill out the application accurately is essential for ensuring a smooth enrollment process.
Follow the steps to successfully complete your DCD-0451 form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In Part A, provide the necessary general information including the name of your center or home child care provider, the county you operate in, and your mailing address including city, state, and zip code. Be sure to fill in your site address if it is different from your mailing address, as well as the name and contact information of the director and the contact person.
- Select your type of arrangement by checking only one box that corresponds to your child care setup, such as Licensed Center or Nonlicensed Care.
- In Part B, attach a copy of your rates or complete the Private Paying Rates and Other Fees form (DCD-0458). Ensure that you include any applicable sliding fee scales or scholarship program requirements.
- If you are a Licensed Center or a family child care home, complete Part C with your License or Facility ID number.
- All providers must complete Part D, where you affirm your commitment to providing care in a safe environment and acknowledge the seriousness of compliance with child care regulations. Ensure you sign and date this part.
- Licensed and religious-sponsored facilities should fill out Part E, checking the other days and shifts of care they offer, along with the types of care for school-age children.
- If you are a nonlicensed care provider, complete Part F including your date of birth and Social Security number, as well as the number of children you care for.
- Finally, in Part G, indicate whether you are interested in children being referred by your local purchasing agency. List the names and details of up to three children in your care. If you care for more than three children, attach additional pages as needed.
- After completing all necessary parts, ensure both copies of the form (white and pink) are signed and sent to your child care social worker at your local purchasing agency.
Complete your DCD-0451 application online now to become a provider of subsidized child care.
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What are the three divisions of the NCDHHS?
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What does the Federal Department of Health do?
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Who oversees daycares in NC?
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