Eec form 2026

1. Click ‘Get Form’ to open the eec form in the editor.
2. Begin by selecting whether this is a new application, renewal, change in licensee, move, or re-open for either small or large group care.
3. Fill in the program details including the name, address, city/town, zip code, telephone, fax, and email. If your mailing address differs from your physical address, provide that as well.
4. Specify the licensee's name and contact information. Indicate the type of ownership by checking the appropriate box (DBA, Non-Profit Corp., etc.).
5. Indicate the total license capacity requested based on age groups and operation schedules. Ensure you circle the days of operation and provide specific times for full day and half day services.
6. Answer compliance questions regarding other licenses held and ADA requirements. Finally, ensure both administrator and licensee signatures are included with dates.

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