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New Vendor Application Packet Documentation …

LicensedChild DayVoluntarilyReligiousUnlicensedLocal GovernmentLicensedLocalDepartmentSystemR egisteredExemptCertifiedLocal SchoolApprovedIn-homeFamilyOrdinanceof DefenseApprovedFamily DayCenterPreschoolDivisionRecreationChil d CareDayHomeApprovedApprovedFamily DayHomeHomeProgramsProgramProviderChild Care Subsidy Program OrientationXXXXXXXXXXC hild Care SubsidyVendor ApplicationXXXXXXXXXXD ocumentation of Operating Status: License orPermit or exemption Letter or Certificate ofRegistrationXXXXXXXXXIRSD ocumentation:Form W-9Be sure SSN or FEIN and name of child care facility are correct should be same filing to IRSXXXXXXXXXXIRSD ocumentation: Supporting Documentation for Form W-9:copy of SSN card or IRS Notification Letter 147C orIRS Notification Letter XXXXXXXXXXA uthorization to Act as Agent on Customers Behalf for In-Home CarexProfessionalDevelopment Certificate of Completion of VAPreservice Training for Child Care StaffXXXXXXXXXXS worn Statementor Affirmatio

Dec 10, 2020 · Permit or Exemption Letter or Certificate of Registration X IRS Documentation: Form W-9 ... New Vendor Application Packet. National Fingerprint Based Background Check X XX X X Out-of-State Background Check X XX X X TB Screening results/letter X X X Current First Aid/CPR certification

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