ELPOP Documents Admin Procedure Documents

Program Documents ELCNC-01 AWI-VPK-01 Child Application ELCNC-02 AWI-VPK-02 Certificate of Eligibility ELCNC-03L AWI-VPK-03L Student Attendance & Parental Choice Certificate - Long Form ELCNC-03S Student Attendance & Parental Choice Certificate - Short Form ELCNC-04 AWI-VPK-04 Informed Parental Consent ELCNC-05 AWI-VPK-05 Reenrollment Application ELCNC-07 AWI-VPK-10 Statewide Provider Registration Application ELCNC-08A AWI-VPK-11A Class Registration Application - Instructors ELCNC-08B AWI-VPK-11B Class Registration Application - Calendar ELCNC-09 AWI-VPK-20 Statewide Provider Agreement ELCNC-12 VPK Provider Agreement Amendment Form ELCNC-13 VPK Non-Credentialed Substitute Teacher Report ELCNC-14 VPK Attendance Policy Checklist ELCNC-15 VPK Provider Audit Tool - Private Provider ELCNC-16 VPK Provider Audit Tool - Public School ELCNC-17 Accrediting Associations & Agencies Recognized by the VPK Program ELCNC-18 School Readiness Provider Agreement ELCNC-19 School Readiness Agreement Attachments ELCNC-20 Insurance Affidavit ELCNC-21 Signature Authority Form ELCNC-22 School Readiness Provider Non-Compliance Report ELCNC-23 School Readiness Program Pre-Assessment Tools ELCNC-24 School Readiness Program Health & Safety Assessment Health & Safety Assessments FAQ - Centers Health & Safety Assessments FAQ - Homes ELCNC-25 School Readiness Provider Observation Tools, revised 8/15/10 School Readiness Provider Observation Tool FAQ ELCNC-26 Sub-Recipient/Vendor Relationship Determination ELCNC-28 School Readiness Provider Quarterly Report ELCNC-29 Coalition Approved Curricula ELCNC-30 Checklist for Curriculum Evaluation ELCNC-31 Request for Curriculum Approval Application ELCNC-32 Provider Contact Form ELCNC-33 Technical Assistance Request ELCNC-34 Corrective Action Form ELCNC-35 Individual Learning Plan ELCNC-36 W-9 Form ELPOP-37 Attestation of Good Moral Character Form ELCNC-38 School Readiness Provider Rate Schedule FY 08-09 ELCNC-39 Accreditation Mini Grant Application, Part One ELCNC-40 Accreditation Mini Grant Application, Part Two ELCNC-41 Inclusion Mini Grant Program Application ELCNC-42 Professional Development/Certification Reimbursement Program - Preliminary Application ELCNC-43 Professional Development/Certification Reimbursement Program - Reimbursement Application ELCNC-44 Provider Recruitment & Expansion Program Application ELCNC-45 TIP Program - Training Prior Approval Form ELCNC-46 TIP Program - Stipend Request Form ELCNC-47 TIP Program - Verification of Completed Training Form ELCNC-48 VPK Provider Automatic Payment Deposit Form ELCNC-49 Potential Provider Contact Form ELCNC-50 Certification of Receipt of Health Records ELCNC-51 VPK Site Audit Results Form Client Services Department Documents ELCNC-201 School Readiness Program Provider Transfer Form - Zero Balance ELCNC-202 School Readiness Program Notice of Fee Change ELCNC-203 School Readiness Program Notice of Schedule Change ELCNC-204 At Risk and Rilya Wilson Act FAQ Rilya Wilson Reporting Sample - Citrus PS Rilya Wilson Reporting Sample - Citrus PI Rilya Wilson Reporting Sample - Sumter ELCNC-206 School Readiness Reimbursement Changes ELCNC-207 VPK Reimbursement Changes ELCNC-208 Withdrawn ELCNC-209 Redetermination Notice - Citrus County ELCNC-210 Mail-In Redetermination FAQ ELCNC-211 Child Attendance Notice ELCNC-212 Customer Satisfaction Survey ELCNC-213 Withdrawn ELCNC-214 Withdrawn ELCNC-215 School Readiness Services Terms and Conditions ELCNC-216 Eligibility Enrollment Form for School Readiness Services ELCNC-217 Verification of Family Status ELCNC-218 Verification of Disability ELCNC-219 Redetermination Welcome Letter ELCNC-220 Notice of Transfer Form ELCNC-221 School Readiness Program Notice of Termination Rilya Wilson Reporting Sample - Tri-County ELCNC-223 Notice of Required Documents ELCNC-224 Early Learning Services Appeal ELCNC-225 Verification of Income/Employment Form ELCNC-226 Required Documents Checklist ELCNC-227 Needs Assessment Checklist ELCNC-228 School Readiness Parent Fee Schedule 2008-2009 ELCNC-229 School Readiness Fee Reduction Notice Form ELCNC-230 Provider Monthly Student Attendance Submission Tracking Form ELCNC-231 Status of Attendance Form ELCNC-232 Provider Attendance Checklist ELCNC-233 SR & VPK Attendance Reimbursement Closing Dates FY09-10 ELCNC-234 Prior Period Adjustment Worksheet ELCNC-235 School Readiness Provider Rate Schedule ELCNC-236 Waiting List Log ELCNC-237 Child Care Certificate Manual ELCNC-238 School Readiness Pay History Calendar 2009-2010 ELCNC-239 Self Employment Tracking Form ELCNC-240 Disposition of Day Care Referral Form for Children At-Risk ELCNC-241 Notification of Interruption/Temporary Break in Care ELCNC-242 Need Follow Up ELCNC-243 Child Care Authorization Notification ELCNC-244 RE: Your On-line Wait List Application Letter ELCNC-245 Notice of 185% - 200% of Federal Poverty Level ELCNC-246 Attendance Monitor Results Worksheet ELCNC-248 Improper Payment Dispute Form ELCNC-249 Notification of Improper Payment Adjustment ELCNC-250 VPK Family Information Packet Checklist ELCNC-251 Fax to Referring Agency - Tri-County ELCNC-252 Fax to Referring Agency - Citrus County ELCNC-253 Fax to Referring Agency - Sumter County ELCNC-254 Maternity Leave Form ELCNC-255 School Readiness Program Wait List Application ELCNC-256 Attendance Monitor Notification ELCNC-257 Redetermination Notice - Tri-County ELCNC-258 VPK Notice of Class Transfer ELCNC-259 VPK Notice of Termination ELCNC-260 Wait List Client Acknowledgement ELCNC-261 CCR&R Parent Cover Letter ELCNC-262 Wait List Application Status ELCNC-263 Notification of Case Closed ELCNC-264 Client Services Counselor Change Notification ELCNC-265 FY 2009-2010 Parent Fee Scale - Withdrawn ELCNC-266 VPK Parent Rights and Responsibilities ELCNC-267 Verification of Education ELCNC-268 Footer for Child Care Certificate ELCNC-269 Client Services Monthly Calendar ELCNC-270 Client Sign-in Log ELCNC-271 Request for Child Care Certificate ELCNC-272 R&R Complaint Form ELCNC-273 Reimbursement Procedure Past-due Fees/Non-attendance ELCNC-274 Attestation ELCNC-275 Wait List Update ELCNC-276 Parent History Notes Manual ELCNC-277 Wait List Funding Notification ELCNC-278 Header and Footer for Attendance Sheet ELCNC-279 Referral Log ELCNC-280 Provider Monthly Student Attendance Submission Tracking Form - Tri-County ELCNC-281 Provider Monthly Student Attendance Submission Tracking Form - Sumter County ELCNC-282 Child Care Application - Authorization ELCNC-283 Redetermination Notice - Sumter County ELCNC-284 VPK Provider Hours Calendar ELCNC-285 Appointment Checklist ELCNC-286 Inter-Office File Tracker ELCNC-287 File Organization Chart ELCNC-288 School Readiness Program Attendance Rolls ELCNC-289 VPK Program Attendance Rolls ELCNC-290 School Readiness Program Notice of Additional Placement ELCNC-291 School Readiness Provider Reimbursement Rates FY 09-10, effective 1/1/10 ELCNC-292 Tracking Form Application for Unrestricted Fund Payments ELCNC-293 Eligibility Determination Factors for a Child At Risk of Future School Failure ELCNC-294 Vision and Hearing Letter ELCNC-295 Provider Re-Activation Checklist ELCNC-296 Parent Improper Payment Adjustment ELCNC-297 CCR&R Program Requirements ELCNC-298 EFS Standard Codes ELCNC-299 Provider VPK Notice of Termination ELCNC-300 School Readiness Attendance Validation Fraud Form ELCNC-301 FY 2009 - 2010 Parent Fee Scale - effective January 1, 2010 ELCNC-302 School Readiness Services Terms & Conditions - SPANISH ELCNC-303 Special Needs Payment Provider Application ELCNC-304 Affidavit of Identiy by Two Credible Witnesses ELCNC-305 Notice of Change to Recertification Date for School Readiness Services ELCNC-306 Complete Waitlist Applications Counselor Tracking Form ELCNC-307 Returned Waitlist Application History Notes ELCNC-308 Suspected Fraud Referral Record - DPAF 2013 ELCNC-309 Required Documents Checklist (Spanish) ELCNC-310 School Readiness Pay History Calendar 2010 - 2011 ELCNC-311 School Readiness Provider Rate Schedule, FY 10-11, effective July 1, 2010 ELCNC-311 School Readiness Provider Rate Schedule, FY 10-11, effective September 1, 2010 ELCNC-311 School Readiness Provider Rate Schedule, effective April 1, 2011 ELCNC-311 School Readiness Provider Rate Schedule, effective November 1, 2011 ELCNC-312 Affidavit of Identiy by Two Credible Witnesses (Spanish) ELCNC-313 School Readiness Pay History Calendar 2011-12 ELCNC-314 Wait List Vision and Hearing Letter ELCNC-315 Executive Director Co-Payment Reduction Waiver Request ELCNC-316 Notice of Required Documents - Spanish ELCNC-317 Parent Fee Scale, effective July 1, 2011 ELCNC-318 Spanish Language Help Desk Letter ELCNC-319 Customer Satisfaction Survey - Spanish SR-100 School Readiness Income Worksheet