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CCA-0218A - Sign-In Sign-Out Record

CCA-0218A - Sign-In Sign-Out Record 2025

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26 votes

The document outlines the Sign-In/Sign-Out Record requirements for child care providers in Arizona, detailing the necessary procedures for accurately recording attendance times for children in care. It emphasizes the importance of legible entries, legal signatures, and compliance with specific guidelines to ensure proper documentation and verification under penalty of perjury. Additionally, it specifies record-keeping responsibilities and submission deadlines for certified home providers.

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Click ‘Get Form’ to open the CCA-0218A - Sign-In Sign-Out Record in the editor.
Begin by entering the Child Care Provider’s Name and Date at the top of the form. Ensure this matches your Certificate of Authorization.
Fill in the Child’s Name and Time In/Out fields for both AM and PM sessions. Remember to specify 'a.m.' or 'p.m.' for clarity, especially if care exceeds 12 hours.
Have the Parent/Guardian sign next to their respective time entries. Each entry must be legible and include a legal signature in ink.
Review all entries for accuracy, ensuring that dates and times are precise. If corrections are needed, initial them as required.
Once completed, save your document. You can easily share it with parents or submit it as needed through our platform.

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Versions	Form popularity	Fillable & printable
2019	4.5 Satisfied (26 Votes)
2014	4 Satisfied (32 Votes)

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