Sfn 517: Fill out & sign online

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Click ‘Get Form’ to open the SFN 517 in our editor.
Begin by entering your Child Care Provider/Program Legal Name, License Number, and Today's Date in the designated fields.
Fill in your Address, City, State, Telephone Number, Cell Phone Number, and ZIP Code to ensure accurate contact information.
For the First Choice relocation plan within the same community, provide a Contact Name and their Address. Include their City, State, Telephone Number, Cell Phone Number, and any Additional Contact Information.
Repeat Step 4 for the Second Choice relocation plan within the same community.
For the Outside of Community section, enter the relevant Contact Name and Address along with their City, State, Telephone Number, Cell Phone Number, and Additional Contact Information.
Complete the emergency contact section with a family member or friend’s details who lives outside of your immediate area.
Review all entered information for accuracy before signing. Add your Printed Name and Authorized Signature along with the Date.
Finally, save your completed form and return it to your county licensor while keeping a copy for your records.

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