Childcare Verification Form

Childcare Verification Form - Need help with child care costs? I/we provide childcare supervision for the student listed above on the following days/times (check all that apply) before school monday tu esday. ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign. Attach the completed verification form. Your child care provider will need to complete this form and return to you. I hereby authorize you to provide any information. To whom it may concern: In order for a student to be released/accepted due to childcare, the parent(s)/guardian(s) of the child may have to provide evidence of employment.

I hereby authorize you to provide any information. Attach the completed verification form. I/we provide childcare supervision for the student listed above on the following days/times (check all that apply) before school monday tu esday. Your child care provider will need to complete this form and return to you. To whom it may concern: Need help with child care costs? In order for a student to be released/accepted due to childcare, the parent(s)/guardian(s) of the child may have to provide evidence of employment. ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign.

Need help with child care costs? Your child care provider will need to complete this form and return to you. I/we provide childcare supervision for the student listed above on the following days/times (check all that apply) before school monday tu esday. ****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign. Attach the completed verification form. To whom it may concern: In order for a student to be released/accepted due to childcare, the parent(s)/guardian(s) of the child may have to provide evidence of employment. I hereby authorize you to provide any information.

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To Whom It May Concern:

Your child care provider will need to complete this form and return to you. Attach the completed verification form. I hereby authorize you to provide any information. I/we provide childcare supervision for the student listed above on the following days/times (check all that apply) before school monday tu esday.

Need Help With Child Care Costs?

****************************************************************************************** please list the names of all individuals at your center/home who are authorized to sign. In order for a student to be released/accepted due to childcare, the parent(s)/guardian(s) of the child may have to provide evidence of employment.

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