South Carolina Department of Social Services Child Care Licensing and Regulatory Services, Section 3.
Level Verified: Verify educational level by listing the diploma or degree.
Days/ Hours on Duty: Example: M-F/8-5.
Additional pages: Use additional pages if necessary.
Obsolete edition: Edition of MAR 94 is obsolete.
| Question | Answer |
|---|---|
| Form Name | DSS Form 2964 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 3 min |
| Other names | DSS Form 2964, DSS 2964, SC DSS 2964, Form 2964, DSS2964, Staff/Caregiver Checklist |
| Edition | MAR 10 |
| Issuing agency | South Carolina Department of Social Services, Child Care Licensing and Regulatory Services |
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