Attestation- This will be filled out by the owner for homes/ director for centers/ or religious leader for child care ministries. The person who signs the attestation form will also sign the application to show their involvement with the licensing decision. If the person isn't listed in the Provider Admin section, send them an admin invitation. This will give them access to the application to sign the last page and submit. Please note anyone listed as a provider admin will need sent an educator invite to do their consent form(s) for each site. Mark their "Educator Type" as an "Applicant" on the invite or on the Associated Educator roster.
Please click the link to download the form: https://forms.in.gov/Download.aspx?id=5496
Legally Licensed Exempt Programs (LLEPs) are not required to submit an attestation form.
(Source): https://www.in.gov/fssa/carefinder/family-resources/forms/
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