Form Dcf F Cfs 0056 PDF Details

The Department of Children and Families in the State of Wisconsin, through its Division of Early Care and Education, provides a crucial document, the DCF-F (CFS-0056) form, designed to regulate the transportation permissions for child care centers. This form, with its revision in December 2008, plays a significant role in ensuring the safety and compliance of child care centers with specific sections of the Wisconsin Administrative Codes, namely DCF 250.08, DCF 251.08, and DCF 252.09. These regulations pertain to the transportation of children to and from the center, whether the transport is provided or contracted by the center itself. Filling out the form is voluntary but crucial for compliance and the child's welfare, encompassing various aspects including special health care needs, parent/guardian contacts, emergency contacts, authorized destinations and individuals to receive the child, and child’s health care provider information. Moreover, it covers authorization for emergency medical care and permission for school-aged children to enter buildings unescorted. The form necessitates parents or guardians to update the information as needed and mandates the child care center to maintain it in the child’s file during their enrollment. Additionally, a copy of this form, alongside any relevant health history forms for children with special health care needs, must be present in the vehicle during transportation. This thorough document underscores the importance of detailed record-keeping and clear communication between child care providers and parents/guardians, ensuring that children's safety and health are paramount during transportation.

QuestionAnswer
Form NameForm Dcf F Cfs 0056
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesDESTINATIONS, wis dot mv2932 form, wisconsin permission to pick up title, 2008

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DEPARTMENT OF CHILDREN AND FAMILIES

STATE OF WISCONSIN

Division of Early Care and Education

 

DCF-F (CFS-0056) (R. 12/2008)

 

Transportation Permission – Child Care Centers

Use of form: Use of this form is voluntary. However, completion of this form will help ensure compliance with portions of DCF 250.08, DCF 251.08 and DCF 252.09 of the Wisconsin Administrative Codes regarding regularly scheduled, center-provided / center-contracted transportation of children in care to and from the center. Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04(1)(m), Wisconsin Statutes].

Instructions: The parent / guardian should complete this form for placement in the child's file at the center and update the information as needed. The center shall maintain the

completed form in the child's file for the duration of the child's enrollment. Note: A copy of this form shall be carried in the vehicle when transporting the child. If the child has special health care needs, also include a copy of CFS-2345, Health History – Child Care Centers.

A.CHILD INFORMATION Name

Address – Home (Street, City, State, Zip Code)

Yes

No Does the child have any special health care needs? If "Yes", attach the department form, “Health History – Child Care Centers.”

B.PARENT / GUARDIAN INFORMATION Provide information where the parent / guardian may be reached while the child is in care.

1. Name

Telephone Number – Home

Telephone Number – Work

Telephone Number – Cellular

 

 

 

 

 

Address (Street, City, State, Zip Code)

2.Name

Telephone Number – Home

Telephone Number – Work

Telephone Number – Cellular

Address (Street, City, State, Zip Code)

C.EMERGENCY CONTACT INFORMATION Provide information on the person to contact if the parent / guardian cannot be reached.

Name

 

Address

(Street, City, State, Zip)

 

Telephone Number

 

 

 

 

 

 

D. AUTHORIZED DESTINATIONS / PERSONS INFORMATION

 

 

 

Address Child Transported From

(Street, City)

 

Address Child Transported To (Street, City)

Person Authorized to Receive Child

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

 

 

Procedure to follow when parent / guardian or authorized adult is not at destination to receive child – Specify.

E. CHILD’S HEALTH CARE PROVIDER INFORMATION

Name – Physician

Address (Street, City, State, Zip Code)

Telephone Number

 

 

 

F.AUTHORIZATION

1.

2.

Yes Yes

No

I hereby give my consent for emergency medical care or treatment to be used only if I cannot be reached immediately.

No

I hereby give permission for my school-aged child to enter a building unescorted.

SIGNATURE – Parent / Guardian

Date Signed

How to Edit Form Dcf F Cfs 0056 Online for Free

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Step 1: Press the "Get Form" button above on this page to get into our tool.

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With regards to the blank fields of this specific PDF, this is what you want to do:

1. While completing the WISCONSIN, be sure to incorporate all of the important blanks within its associated section. It will help to facilitate the work, allowing your information to be processed fast and correctly.

form mv2932 completion process detailed (portion 1)

2. Given that the previous array of fields is done, it's time to put in the essential specifics in Procedure to follow when parent, E CHILDS HEALTH CARE PROVIDER, Address Street City State Zip Code, Telephone Number, F AUTHORIZATION, Yes Yes, No No, I hereby give my consent for, SIGNATURE Parent Guardian, and Date Signed in order to progress to the 3rd part.

Tips to fill out form mv2932 portion 2

It's easy to make an error when filling in your F AUTHORIZATION, therefore ensure that you go through it again before you'll finalize the form.

Step 3: Be certain that the information is accurate and click "Done" to finish the process. Right after registering afree trial account here, you'll be able to download WISCONSIN or send it via email directly. The PDF will also be accessible from your personal cabinet with all of your changes. Whenever you work with FormsPal, you're able to fill out documents without needing to be concerned about personal information leaks or data entries being shared. Our secure system helps to ensure that your private information is kept safe.

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