Palm Beach County Provider Forms

Common Provider Forms and Information


Palm Beach School Readiness & Continue to Care Scholarship Funding  Contact List for Providers
Download Staff Contact List (Last updated 3/1/10)  

Update your Services and Facility Information
Have a new phone or fax number, change of business hours, types of services offered, etc.?
Complete our Provider Update Form below to provide us with notification of your change(s)  
Provider Update Request/Information On-line Form 

 

The State-wide Resource and Referral child care data base is used by Family Central  to assist thousands of parents, guardians and others each year to find the best possible child care choice to meet their needs.  Family Central wants to provide the most up-to-date information.  As such, please contact 561-514-3335 to update your child care information as required.

Please note that there are NO CHARGES/FEES associated with a provider listing in the Resource & Referral database or for referrals to your program.  If you are asked to provide payment for a listing in the Resource & Referral database, please call:

Agency for Workforce Innovation – Office of Early Learning Resource & Referral Network at 1-866-357-3239.

The information reported about a provider’s program is objective information that is based on standards that are attainable for providers based on their type of care.

 


General Provider Forms

The Documents Provided Below are Offered in Editable PDF Format
(Allows the ability to type in your required information, save a copy of your information and print. You may NEED to provide a signature on some of the documents which will require that you print the document and mail/fax back with appropriate signatures).

DIRECT DEPOSIT REQUEST OR UPDATE

RENEWAL DATA SHEET

W-9 FORM

Department of Children and Families - Form

Affidavit of Good Moral Character


VPK Provider Forms

 VPK Provider Forms & Information for School Year 2011 - 2012     
 
 
Updated Forms for School Year (Fall) 2011-2012

SUBSTITUTE TRACKING SHEET 

State of Florida - Office of Early Learning and Agency for Workforce Innovation Forms

Child Attendance and Parental Choice Certificate     

** Access Short Form      |      ** Access Long Form

 Calendar Guide - for Calculating Number of Days for VPK 
VPK FAQ and Instructional Video Guides - Completing AWI VPK Forms - School Year/Fall 11-12