Transcription of New Vendor Application Packet Documentation …
1 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.
2 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 Affirmation forChild Day ProgramsXXXXXC entral Registry Release ofInformation FormXXXXXXXNew Vendor Application Packet Documentation Requirements VDSS Child Care Subsidy ProgramUnlicensed/UnregisteredFamily DayHomeXXXXNew Vendor Application PacketXNationalFingerprint Based background CheckXXXXXOut-of-StateBackground CheckXXXXXTB Screeningresults/letterXXXC urrent FirstAid/CPR certification Age Appropiate XXChild Care ScheduleXHousehold ListingXXSubsidy MonitoringInspectionXXXXXXXXXXV irginia Department of Social Services
