"Application to Care for Additional Children Family Child Care Learning Homes" - Georgia (United States)

Application to Care for Additional Children Family Child Care Learning Homes is a legal document that was released by the Georgia Department of Early Care and Learning - a government authority operating within Georgia (United States).

Form Details:

  • Released on October 1, 2019;
  • The latest edition currently provided by the Georgia Department of Early Care and Learning;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Georgia Department of Early Care and Learning.

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Download "Application to Care for Additional Children Family Child Care Learning Homes" - Georgia (United States)

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APPLICATION TO CARE FOR ADDITIONAL CHILDREN
FAMILY CHILD CARE LEARNING HOMES
Rule 290-2-3-.07(15) permits Family Child Care Learning Homes to care for two additional
children, who are three years and older, for two designated one-hour periods daily, upon request.
Providers may request these periods as two separate hours during a day or as two consecutive
hours during a day. Providers who would like to care for two additional children should complete
the information below and send the form to Bright from the Start. The designated hours remain
constant and may only be changed by submitting a new written request to Bright from the Start for
review.
NAME OF
PROVIDER:
ADDRESS:
COUNTY:
PHONE NUMBER
Period (s) Requested (Check One)
1.
Two Separate Hours
from
to
and
from
to
2.
Two Consecutive Hours
from
to
I understand that I can only care for a maximum of 8 children during the designated hours above and that all
other applicable rules and regulations apply during the approved time period(s).
Provider's Signature
Date
RETURN THE COMPLETED FORM TO YOUR ASSIGNED CHILD CARE CONSULTANT
Questions? Call 404-657-5562
YOU WILL BE NOTIFIED IN WRITING IF THE REQUEST IS NOT APPROVED
****************************************************************************************************
For Child Care Services Use Only
Request Approved: _____________________________________
_______________________
Administrative Assistant
Date
Request Denied: _______________________________________
_______________________
Administrative Assistant
Date
Reason Denied:
_____________________________________________________________________________________
Bright from the Start: Georgia Department of Early Care and Learning
October 2019
APPLICATION TO CARE FOR ADDITIONAL CHILDREN
FAMILY CHILD CARE LEARNING HOMES
Rule 290-2-3-.07(15) permits Family Child Care Learning Homes to care for two additional
children, who are three years and older, for two designated one-hour periods daily, upon request.
Providers may request these periods as two separate hours during a day or as two consecutive
hours during a day. Providers who would like to care for two additional children should complete
the information below and send the form to Bright from the Start. The designated hours remain
constant and may only be changed by submitting a new written request to Bright from the Start for
review.
NAME OF
PROVIDER:
ADDRESS:
COUNTY:
PHONE NUMBER
Period (s) Requested (Check One)
1.
Two Separate Hours
from
to
and
from
to
2.
Two Consecutive Hours
from
to
I understand that I can only care for a maximum of 8 children during the designated hours above and that all
other applicable rules and regulations apply during the approved time period(s).
Provider's Signature
Date
RETURN THE COMPLETED FORM TO YOUR ASSIGNED CHILD CARE CONSULTANT
Questions? Call 404-657-5562
YOU WILL BE NOTIFIED IN WRITING IF THE REQUEST IS NOT APPROVED
****************************************************************************************************
For Child Care Services Use Only
Request Approved: _____________________________________
_______________________
Administrative Assistant
Date
Request Denied: _______________________________________
_______________________
Administrative Assistant
Date
Reason Denied:
_____________________________________________________________________________________
Bright from the Start: Georgia Department of Early Care and Learning
October 2019