Temporary Emergency Childcare: Pandemic Response 2026

1. Click ‘Get Form’ to open the Temporary Emergency Childcare: Pandemic Response document in the editor.
2. Begin by filling in the PROGRAM NAME and STREET ADDRESS fields. Ensure accuracy as this information is crucial for identification.
3. Next, provide the CITY/STATE/ZIP and PHONE NUMBER. This contact information will help facilitate communication regarding your application.
4. In the POINT OF CONTACT/SUPERVISOR section, enter the name, phone number, and email address of the supervisor responsible for the childcare program.
5. Specify the AGE GROUPS SERVED and REQUESTED CAPACITY. Remember that infants aged 0 to 24 months cannot be served.
6. Fill out the HOURS OF OPERATION for each day of the week, ensuring you adhere to staffing ratios outlined in the document.
7. Complete all required sections regarding staff qualifications, operational requirements, and disciplinary policies to ensure compliance with state regulations.
8. Finally, review all entries for accuracy before signing and dating at the bottom of the form to confirm your agreement with its terms.

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