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How to use or fill out CAREGIVER REFERENCES with our platform
- Click ‘Get Form’ to open the CAREGIVER REFERENCES document in the editor.
- Begin by entering the PROGRAM NAME and LICENSE/REGISTRATION NUMBER at the top of the form. Ensure that this information is accurate as it identifies your care program.
- Next, fill in your CAREGIVER NAME and select your role (Provider, Assistant, or Substitute) by checking the appropriate box.
- For each of the three references required, check whether they are a personal or employment reference. Fill in their NAME, ADDRESS, CITY, STATE, ZIP CODE, HOME PHONE, E-MAIL, and DAYTIME PHONE clearly.
- Indicate if each reference speaks English by selecting 'Yes' or 'No'. If they do not speak English, specify the language spoken.
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