LDSS-4699a. Legally Exempt Program Enrollment Form Information and Instructions Guide

Form LDSS-4699a is a New York State Office of Children and Family Services Legally Exempt Program Enrollment Form. It is used for new enrollments in programs that are legally exempt from Child Care Regulations. This form is used to document the enrollment of a child in a legally exempt program and to ensure that the child is receiving appropriate care.

The form consists of several sections, including the child's information, the program information, the parent or guardian's information, and a certification section. The child's information section includes the child's name, date of birth, address, and contact information. The program information section includes the program's name, address, contact information, and the type of program. The parent or guardian's information section includes the parent or guardian's name, address, contact information, and signature. The certification section includes a statement confirming that the parent or guardian is the legal guardian of the child and that the program is legally exempt from the Child Care Regulations.

Important fields in this form include the child's name, date of birth, address, and contact information; the program's name, address, contact information, and type of program; and the parent or guardian's name, address, contact information, and signature. It is important to complete all the fields accurately as inaccurate information may lead to the child not being enrolled in the program.

An example scenario where this form would be used is when enrolling a child in a day care center that is legally exempt from the Child Care Regulations. The form would be completed by the parent or guardian to document the enrollment of the child and to ensure that the child is receiving appropriate care. The benefits of using this form is that it provides a record of the enrollment of the child and confirms that the program is legally exempt from the Child Care Regulations.

When filling out this form, it is important to read and follow any specific instructions provided. It is also important to provide accurate and up-to-date information in all of the fields. Related forms or alternatives that may exist for similar transactions or purposes include the Child Care Program Enrollment Form (LDSS-4699) and the Program Certification Form (LDSS-4700). Additional documents that may be required to complete the form include proof of residency, proof of identity, and proof of guardians