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Form doh 4419-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the name of your Day Care or Owner/Operator at the top of the form. If there is a different on-site provider, fill that in as well.
- For each child, provide their name, child number, and date of birth. Indicate their gender by checking the appropriate box.
- Select the ethnic and racial information for each child from the provided options. This helps in understanding diversity within your care environment.
- Fill in the primary language spoken at home and check any applicable boxes regarding the child's status (e.g., resident child, special needs).
- Specify care hours by entering start and end times, along with days of care and meals provided during that time.
- Complete the infant feeding statement if applicable, indicating who will supply food for infants under one year old.
- Finally, provide contact information for the parent/guardian and ensure they sign and date the form before submission.
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