DCC 94 Form – Fill Out and Use This PDF

The DCC-94 form, officially known as the Child Care Daily Attendance Record, is a mandatory document designed by the Commonwealth of Kentucky's Cabinet for Health and Family Services. It serves as a detailed log of child attendance within registered, certified, or licensed child care facilities, documenting each child's daily arrival and departure times, and requiring weekly authentication by a parent or a designated representative. This process ensures accountability and proper billing in compliance with state regulations. For detailed guidelines on accurately completing the DCC-94 form, click the button below.

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DCC 94 Form PDF Details

Understanding the intricacies of child care management within the Commonwealth of Kentucky requires familiarity with specific forms and procedures, among which is the DCC-94E form, a crucial document for child care providers. This form, issued by the Cabinet for Health and Family Services under the Department of Community Based Services Division of Child Care, serves as a daily attendance record that is not only mandatory but foundational for ensuring accountability and compliance with state regulations outlined in 922 KAR 2:160. It demands that providers meticulously record the arrival and departure times of each child, ensuring these entries are validated by a parent or a designated individual weekly. Accuracy in completing this form is paramount, as it directly influences the provider's billing process and compliance with Kentucky Revised Statutes (KRS) 13A.130, aiming to eliminate fraudulent practices and ensure providers are fairly compensated for their services. The form also outlines the consequences of inaccuracies, including potential non-payment and recoupment of funds, stressing the importance of diligent record-keeping in the broader context of child care provision and regulatory adherence within Kentucky.

Question	Answer
Form Name	DCC 94 Form
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	kentucky dcc 94e form, dcc94, dcc 94e form, kentucky child care attendance form

How to Edit DCC 94 Form Online for Free

What is the DCC 94 Form

The DCC 94 form, also known as the DCC-94E or Child Care Daily Attendance Record, is an official pdf document required under Kentucky's 922 KAR 2:160. Child care providers in certified, licensed, or registered facilities complete this pdf daily to log each child's arrival and departure times. Kentucky child care facilities participating in CCAP submit the completed attendance record monthly for billing verification. A parent or guardian must sign the pdf form at least once per week to confirm the accuracy of the child care entries.

Who Needs to Complete This Child Care Form

Any Kentucky child care provider participating in the Child Care Assistance Program (CCAP) must complete the DCC-94E. This includes registered, certified, and licensed child care facilities that receive funding through the Cabinet for Health and Family Services. Providers fill out the attendance record daily and parents or guardians sign the pdf weekly to confirm child care entries. State auditors may review completed attendance records to verify billing and compliance with Kentucky child care regulations.

How to Edit This Child Care PDF Online

Our expert team has built a free online pdf editor that makes it easy to fill in or modify the DCC-94 printable form. Follow these steps to complete your child care attendance record:

Step 1: Click the orange "Get Form" button above. This opens the pdf editor so you can start filling out the child care form.

Step 2: The pdf editor lets you modify the child care pdf in several ways. Add text, update existing content in the pdf, and include a signature with a few clicks.

Here is what you should do for the specific fields on this pdf form:

1. Fill out the DCC-94 form accurately, paying close attention to all required fields:

2. After completing that section, fill in all remaining fields including "I certify that I have not altered," "Cabinet for Health and Family," and "An Equal Opportunity Employer MFD." Double-check every entry before moving on.

dcc 94b writing process described (portion 2)

Pay close attention to the "Cabinet for Health and Family" and "I certify that I have not altered" fields, as these are areas where mistakes commonly occur.

Step 3: After reviewing your completed child care form, click "Done." Access the finished pdf after subscribing to a 7-day free trial. Your edits save automatically and stay private within your FormsPal account. Our secure system ensures your child care data is protected.

Key Fields on the Child Care Attendance Record

The DCC-94E pdf includes the following important sections that child care providers must complete:

Provider information: The child care facility name, address, and DCC provider number.
Daily attendance log: Arrival and departure times for each child enrolled in the child care program.
Parent or guardian signature: A weekly signature confirming that the child care attendance record is accurate.
Provider certification: A signed statement confirming the child care provider has not altered the record.
Billing period: The date range covered by the child care attendance form, used for state reimbursement.

Related child care forms: the daily attendance record form, the child care payment letter, the child care incident report, and the family child care application.

Frequently Asked Questions

What does DCC 94 stand for?
DCC 94 refers to the form number assigned by the Kentucky Division of Child Care. The DCC 94E is the most widely used version of the child care daily attendance record pdf.

How often must providers submit the attendance form?
Child care providers submit the attendance record monthly as part of CCAP billing. Parents or guardians sign the pdf weekly to verify child care entries.

Can I fill out the DCC 94 form online?
Yes. FormsPal's free pdf tool lets you open the child care attendance form online, fill in all required fields, add a signature, and download the completed pdf without any software installation.

What happens if the attendance record contains errors?
Errors on the child care attendance record can lead to non-payment or recoupment of child care funds by the state of Kentucky. Always review all entries before signing and submitting the form.

Is the DCC 94 the same as the DCC 94B or DCC 94E?
The DCC 94, DCC 94B, and DCC 94E are related versions of Kentucky's child care daily attendance record. All three pdf forms track child attendance for state child care billing. The DCC 94E is the current standard version.