Form LIC 282. Affidavit Regarding Liability Insurance For Family Child Care Home
The LIC 282 form, also known as the Affidavit Regarding Liability Insurance for Family Child Care Home, serves a crucial purpose in documenting insurance coverage for family child care homes. It is an essential document that ensures compliance with insurance requirements and provides protection for both the child care provider and families involved.
When filling out the LIC 282 form, several important fields must be completed accurately. This includes providing personal information such as the name and address of the family child care home, the provider's name, contact information, and license number. Additionally, details regarding liability insurance coverage, including the insurance company's name, policy number, effective dates, and limits of coverage, must be provided.
The parties involved in the LIC 282 form are primarily the family child care home provider and the licensing agency responsible for overseeing child care services. It is important to carefully review and understand the insurance requirements specified by the licensing agency before filling out the form to ensure compliance.
While completing the form, certain data will be required, such as accurate personal and insurance information. Additionally, it is essential to attach relevant documents to support the information provided. These may include a copy of the liability insurance policy declaration page, proof of coverage, or any other documents requested by the licensing agency.
Practical use cases for the LIC 282 form include initial licensing applications for family child care homes, renewal applications, or when there are changes to the liability insurance coverage. By accurately completing this form, child care providers can demonstrate their compliance with insurance requirements and provide assurance to parents and the licensing agency regarding liability coverage.
Related forms to consider include other licensing forms specific to family child care homes, such as health and safety inspection reports, emergency evacuation plans, or background check authorizations. Alternative forms may vary depending on the jurisdiction and specific requirements set forth by the licensing agency.
After completion, the LIC 282 form is typically submitted directly to the licensing agency overseeing child care services. It is crucial to submit the form according to the agency's guidelines, which may involve mailing a hard copy or submitting it electronically through an online portal. The licensing agency will retain the form for their records and use it to ensure compliance with insurance regulations.
Overall, the LIC 282 form plays a vital role in documenting liability insurance coverage for family child care homes. By accurately completing this form and attaching the necessary supporting documents, child care providers can demonstrate their commitment to maintaining appropriate insurance coverage and comply with licensing requirements.