Form AWI-VPK 02 Eligibility Certificate.doc 2026

1. Click ‘Get Form’ to open the document in the editor.
2. Begin by entering the Parent/Guardian name in the designated field at the top of the form.
3. Fill in the Certificate number, Address, and Certificate issue date accurately to ensure proper identification.
4. Provide your Home telephone number, Other telephone number, City, State, and ZIP Code in their respective fields.
5. Next, enter your Child’s name and Student ID number. Indicate whether this is a New enrollment or Transfer by selecting the appropriate option.
6. For TO PROVIDER/SCHOOL section, ensure you have your confirmation number ready as it authorizes payment for VPK services.
7. Review the Parental Rights and Responsibilities section to understand your rights and obligations regarding VPK services.
8. Finally, sign and date the form at the bottom to complete it before submission.

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