DSS Form 2909 PDF Details

For each child the form has Child's Name, DOB, Arrival, Departure, Days In Facility and Age.

New children: additional forms should be completed when new children are enrolled in the facility.

Return: the form should be returned to the family child care home operator for submission to the Department of Social Services.

Signature: the signature verifies parent(s) have been given a copy of Department of Social Services Regulations and Suggested Standards for Family Child Care Homes.

Reporting: complaints regarding the health and safety of children, child abuse, or over enrollment are to be reported to the staff of the Department of Social Services.

QuestionAnswer
Form NameDSS Form 2909
Form Length1 page
Fillable?Yes
Fillable fields51
Avg. time to fill out9 min
EditionNOV 15
Issuing agencySouth Carolina Department of Social Services
Where to sendReturn it to the family child care home operator for submission to the Department of Social Services
Other namesDSS 2909, DSS Form 2909, Form 2909, Family Child Care Home Consumer Parent Statement
Official sourceDSS Form 2909 (NOV 15), South Carolina Department of Social Services