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Click ‘Get Form’ to open the family care registry form in the editor.
Begin by selecting your registration type. Check at least one box that best describes your worker category, such as 'Adoptive Parent' or 'Long Term Care/Personal Care'. If you select Long Term Care/Personal Care, make sure to choose a subcategory from the options provided.
Enter your Social Security Number in the designated field. Remember to mail a copy of your Social Security card along with the completed form.
Fill out your personal information accurately. This includes your last name, first name, middle name, date of birth, and gender. Be sure to list any prior names used for identification purposes.
Provide your contact information including mailing address, email address, and telephone number. This is crucial for receiving notifications regarding your registration status.
If applicable, complete the employer section by providing details about your current or potential employer related to child care or long-term care.
Finally, review all entered information for accuracy before signing and dating the registration agreement at the bottom of the form.
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