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Lic 9040 spanish-2026
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- Click ‘Get Form’ to open the lic 9040 Spanish document in the editor.
- Begin by entering the 'Facility Name' at the top of the form. This identifies your child care facility.
- Next, input the 'Facility License Number' to ensure compliance with licensing requirements.
- In the section labeled 'Child’s Name/Birthdate', list each child's name along with their birthdate for accurate record-keeping.
- Fill in the 'Address' field for each child, ensuring it is current and correct.
- Provide the names and daytime phone numbers of parents or guardians in the designated fields.
- Lastly, include the physician's name and phone number, as well as dates for enrollment and departure for each child.
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child care facility roster lic 9040
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