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Dhs 4025 form 2010-2026
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- Click ‘Get Form’ to open the dhs 4025 form 2010 in the editor.
- Begin by filling in the 'Case Name', 'Case Number', and 'Date' at the top of the form. Ensure accuracy as this information is crucial for processing.
- Next, complete the 'DHS Office', 'District', and 'Specialist' sections. This identifies your local DHS office and assigned specialist.
- In the 'Child Development and Care Provider Verification' section, provide all requested details about the child care provider, including their name, address, and contact information.
- List all children under care in the designated area, including their names and dates of birth. Indicate if you are related to each child.
- Review both sides of the form carefully. Sign and date on page 2 as required before submitting it back to your local DHS office.
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Related links
Jan 1, 2011 Tables. 1) CDC UPDATES. DHS-4025, Child Development and Care Provider Verification. This form is not required prior to enrolling an unlicensedRead more
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