Voluntary closure request 2026

1. Click ‘Get Form’ to open the voluntary closure request in the editor.
2. In Section 1, enter your Provider Name, Provider ID Number, and Contact Phone Number. This information is essential for identification and communication.
3. Indicate the specific day(s) you plan to be voluntarily closed. Ensure this aligns with your operational schedule.
4. Move to Section 2 and fill in the Begin Date and End Date of your closure using the MM/DD/YY format. Remember, notification must be submitted prior to these dates.
5. In Section 3, check the certification box confirming that all parents have been notified about the closure. Then, provide your signature and date.
6. Finally, submit this form via mail or fax as indicated at the bottom of the document to ensure compliance with CCS Central.

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