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The document explains how to complete a blank renewal application without erasing or correction fluid, how to submit the renewal application with required supporting documents, and how to pay the renewal invoice. It provides submission channels (email, fax, mail, online payment, telephone) and details a renewal packet checklist covering signatures, notarization, personnel records, owner/operator forms, and director-related requirements.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/child-care-facility-license-renewal-instructions-checklist-and-submission-requirements/496897/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/child-care-facility-license-renewal-instructions-checklist-and-submission-requirements/496897.png","ImageObject",300,407,{"name":92,"@type":93},"acoobca","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-10-02",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"How must the renewal application be completed on the form?","Question",{"text":112,"@type":113},"Read the blank renewal application carefully and complete all required documents. 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Please read carefully and complete all required documents. Make any necessary corrections by drawing a single line through the incorrect information and writing in the new information. Do not use an eraser or correction fluid on the form.  \nSubmit Renewal Application with Supporting Documents  \n• Electronically:  \n[o](o E-mail: Childcarelicensing@flhealth.gov)[ E-mail: Childcarelicensing@flhealth.gov](o E-mail: Childcarelicensing@flhealth.gov)  \n[o](o fax:)[ fax:](o fax:) (561) 837-5084 Attn: Licensing  \n*Please note that the signature cannot be electronically generated “e-sign” but must be an actual handwritten signature. (We suggest printing the application to sign)  \n• Mail/Hand Deliver to:  \nFDOH Child Care 4th Floor  \nAttention: Licensing  \n800 Clematis Street  \nWest Palm Beach, FL 33041  \nPay Renewal Invoice  \n• Online: [https://www.myfloridaehpermit.com](https://www.myfloridaehpermit.com)  \no An extra fee may apply through this service.  \no The system will then mark the license as “Pending”  \no Child Care licenses cannot be printed through this portal and will continue to be issued by our Licensing team when all renewal requirements have been fulfilled.  \n• Via Telephone: 561-837-5903  \n• Check: Florida Department of Health Palm Beach County  \nIf you have any question, please submit any questions to ChildCarelic[ensing@flhealth.gov](ensing@flhealth.gov) or call 561-837-8942  \nRenewals must be received no later than November 1st or a fine may be issued for late submission.  \nRENEWAL PACKET  \nFor your convenience, a checklist is provided. Review carefully. Complete and submit documentation as instructed. Red 􀂋 highlight areas requiring signature. Green 􀂋highlight areas where ONLY one line must be signed.  \nFEES:  \nThe invoice for the license fee will be issued to the e-mail on record. You must pay this fee before a license can be issued.  \nFACILITY RECORDS  \nPlease keep a copy of all documents submitted for your license renewal. You are required to maintain complete personnel and operational records at your Child Care Facility  \nThis page was left blank intentionally.  \nCHILD CARE FACILITY RENEWAL APPLICATION CHECKLIST  \n\n| 􀀹 | Application Documents |\n| --- | --- |\n|  | Completed and notarized application form. You must complete ALL applicable sections. |\n|  | Completed application supplement form. |\n|  | Release of Information/Confirmation of Statutory Confidential status |\n|  | Proof of registration of corporation or fictitious name. |\n|  | Completed Transportation Survey- If transportation is not provided please check the corresponding box, sign and date. |\n|  | Vehicle Inspection (if transporting children) conducted by ASE Certified mechanic. |\n|  | Child Care Facility/Current Personnel List Affidavit (needs to be notarized. ) |\n|  | Personnel Demographic Form. This form must be submitted to the Department of Health. (One copy of the form is enclosed: Make copies as needed). Please provide the full social security number as this is required to verify background screening. |\n|  |  |\n\n\n| 􀀹 | Owner/Operator Documents |\n| --- | --- |\n|  | Copy of Background Screening Eligibility from DCF Clearinghouse |\n|  | Completed Affidavit of Good Moral Character completed for owner, household members 18 years of age and older, employees, and substitute(s) . (Only one copy of this form is enclosed, so please make copies as needed.) Please make sure all blank spaces are filled in with the name of your family child care home. (needs to be notarized. ) |\n|  | Completed Central Abuse Hotline Record Search form for operator, employee, and substitute if not a household member. (Make copies as needed). |\n|  | Completed Abuse & Neglect Mandated Reporter Form for the operator, and each employee, and subst","cbCaip9m2vdBuaEU","https://ap.wps.com/l/cbCaip9m2vdBuaEU","pdf",2614688,"English","# Renewal requirements\n## Submission methods and payment\n# Renewal packet checklist\n## Application documents\n## Owner/Operator documents\n## Director documents","[{\"question\":\"How must the renewal application be completed on the form?\",\"answer\":\"Read the blank renewal application carefully and complete all required documents. Make corrections by drawing a single line through incorrect information and writing the new information, without using an eraser or correction fluid.\"},{\"question\":\"What signature requirements apply to the submission forms?\",\"answer\":\"A handwritten signature is required; electronic “e-sign” cannot be generated electronically. The document suggests printing the application to sign.\"},{\"question\":\"What are the key items included in the renewal packet checklist?\",\"answer\":\"The checklist includes a completed notarized application form, a completed application supplement, required release/confirmation forms, transportation and vehicle inspection items (if applicable), personnel list affidavit, demographic form, and multiple owner/operator and director forms including background screening and mandated reporter materials.\"}]","Child Care Facility License Renewal Instructions - Checklist and Submission Requirements | PDF",1790942871]