WESTCHESTER COUNTY DSS - DAYCARE DAILY ATTENDANCE RECORD ... 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Vendor Name, Phone Number, and Vendor Number at the top of the form. This information is crucial for identification and processing.
3. Fill in the Billing Month and Year, along with your Address, City, State (NY), and Zip Code. Ensure accuracy to avoid delays in payment.
4. In the attendance section, list each child's name along with their Case Number and CIN. Mark attendance for each day of the month using 'P' for present, 'A' for absent, or 'C' for program closed.
5. At the bottom of the form, complete the Vendor & Parent Certification section. Both signatures are required for legally exempt in-home care cases.
6. Review all entries carefully before submitting. Ensure that no part of the bill has been paid except as stated.

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