DSS Form 2963 PDF Details

The list holds each child's name, age and days in the facility, with arrival time and departure time.

Facility: Name of Facility, County, Physical Address (Street, City, State, Zip) and Date.

Listed: Immunization, Medication Authorization, Discipline Policy Statement, Swim, Field Trips, Corporal Punishment, Emergency Medical Treatment and ID Verification.

Obsolete: Edition of March 94 is obsolete.

QuestionAnswer
Form NameDSS Form 2963
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min
EditionJUN 09
Issuing agencySouth Carolina Department of Social Services Child Care Licensing
Other names2963, DSS 2963, DSS Form 2963, Child Care Facility Current List of Children