DCYF Form 15-888 "Child Care Center and School Age Program Notice of Change of Management Staff" - Washington

What Is DCYF Form 15-888?

This is a legal form that was released by the Washington State Department of Children, Youth, and Families - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 1, 2018;
  • The latest edition provided by the Washington State Department of Children, Youth, and Families;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DCYF Form 15-888 by clicking the link below or browse more documents and templates provided by the Washington State Department of Children, Youth, and Families.

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Download DCYF Form 15-888 "Child Care Center and School Age Program Notice of Change of Management Staff" - Washington

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Child Care Center
and School Age Program
Notice of Change of Management Staff
Please complete the following information regarding changes in your facility and return to your licensor at the
Department of Children, Youth, and Families.
Facility name:
Provider ID #:
Date:
Facility address:
City:
State
Zip code:
WA
Facility email address:
Facility 10 digit telephone
number:
Name of individual completing this form:
Signature of licensee or designee:
Complete this section when there is a new management staff member:
Name
Position
Date started
Date of
in position:
birth:
STARS ID #
Attach copies of the following when submitting this form:
The following are on file at
your facility:
Basic
Photo ID
Resume
BBP/HIV
STARS
First
TB Test
Transcript
Three References
Aid/
results
*Background check
DCYF (previously DEL) Orientation Certificate Date attended:
clearance completed in MERIT
*If this is a new employee they must complete the portable background check process. Go to the DCYF
website for complete information about the process:
www.dcyf.wa.gov
Comments:
Complete this section when a management staff member is no longer at your facility:
Management Staff Name:
Position:
End date as
MERIT
management
profile has
staff:
been
updated:
Comments:
NOTICE OF CHANGE OF MANAGEMENT STAFF
DCYF 15-888 (Rev. 08/2018) INT/EXT
Child Care Center
and School Age Program
Notice of Change of Management Staff
Please complete the following information regarding changes in your facility and return to your licensor at the
Department of Children, Youth, and Families.
Facility name:
Provider ID #:
Date:
Facility address:
City:
State
Zip code:
WA
Facility email address:
Facility 10 digit telephone
number:
Name of individual completing this form:
Signature of licensee or designee:
Complete this section when there is a new management staff member:
Name
Position
Date started
Date of
in position:
birth:
STARS ID #
Attach copies of the following when submitting this form:
The following are on file at
your facility:
Basic
Photo ID
Resume
BBP/HIV
STARS
First
TB Test
Transcript
Three References
Aid/
results
*Background check
DCYF (previously DEL) Orientation Certificate Date attended:
clearance completed in MERIT
*If this is a new employee they must complete the portable background check process. Go to the DCYF
website for complete information about the process:
www.dcyf.wa.gov
Comments:
Complete this section when a management staff member is no longer at your facility:
Management Staff Name:
Position:
End date as
MERIT
management
profile has
staff:
been
updated:
Comments:
NOTICE OF CHANGE OF MANAGEMENT STAFF
DCYF 15-888 (Rev. 08/2018) INT/EXT