Sponsor Provider Agreement - dphhs mt 2025

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  1. Click ‘Get Form’ to open the Sponsor Provider Agreement in the editor.
  2. Begin by filling out Section I, which includes your Day Care Home Provider Information. Enter your name, date of birth, business name, and facility address accurately.
  3. Complete the License/Registration Information section. Ensure you provide your capacity, registration number, and expiration date. Don’t forget to initial where indicated.
  4. In Section II, review the Rights and Responsibilities of the Sponsor. Familiarize yourself with their obligations as they relate to your participation in the program.
  5. Proceed to Section III and fill out your Rights and Responsibilities as a DCH Provider. Pay close attention to record-keeping requirements and meal service documentation.
  6. Finally, review Sections IV through VI for certifications and addendums. Initial each certification and addendum as required before signing at the end of the document.

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