CHILD CARE VERIFICATION - Housing Authority of Fulton County - hafc 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Applicant/Participant Name and Telephone Number in the designated fields. This information is crucial for identifying the individual seeking assistance.
3. Next, provide your signature and date in the respective fields to authorize the release of information.
4. In the section for Child Care Provider, enter your name and certify that you care for the child(ren) of the applicant. Fill in the name(s) of the child(ren) receiving care.
5. Indicate the payment amount and frequency (weekly, bi-weekly, monthly, or bi-monthly) for child care services.
6. Complete the Day Care Center details if applicable, including telephone number, street address, city, state, and zip code.
7. Finally, ensure that both you and the provider sign and date where indicated to validate this verification form.

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