[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-304543-105":53,"doc-detail-304543-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","parent-provider-agreement-form-2020","Parent-Provider Agreement Form - 2020","","Parent-Provider Agreement Form for Care 4 Kids (C4K) documents a child care arrangement by collecting parent details and provider information. It instructs both parties to complete designated sections, answer required Yes/No questions, and sign and date the form after verifying accuracy. The agreement outlines provider types, accreditation options, required licensing or relationship rules for unlicensed relative providers, and submission steps including contact, address, and fax instructions. 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New providers must provide a Social Security Number or Federal Employer Identification Number and complete an IRS W-9; providers are responsible for paying income taxes to the IRS and the State of Connecticut.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},304543,1790567535,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":73,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":47,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":73},13056712833777,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","| Parent Name: | C4K Case Number: |\n| --- | --- |\n\nSi quiere recibir este formulario en español, llame al 1-888-214-5437.  \nParent-Provider Agreement Form  \nThis form tells us about the child care arrangement.  \nStep 1: This form must be completed by the parent and the child care provider.  \n􀂾 Parent – Complete Sections 1, 3 and 5.  \n􀂾 Child Care Provider – Complete Sections 2, 3 and 4.  \nStep 2: Make sure all sections have been filled in and the information is correct. Answer all Yes or No questions by checking the right box. Once you have filled out and checked this form, make sure the parent and provider sign and date this form. If you need help, call [1-888-214-5437 or visit](1-888-214-5437 or visit www.ctcare4kids.com. Incomplete forms may not be accepted and will delay)[ ](1-888-214-5437 or visit www.ctcare4kids.com. Incomplete forms may not be accepted and will delay)[www.ctcare4kids.com](1-888-214-5437 or visit www.ctcare4kids.com. Incomplete forms may not be accepted and will delay)[.](1-888-214-5437 or visit www.ctcare4kids.com. Incomplete forms may not be accepted and will delay)[ Incomplete forms may not be accepted and ](1-888-214-5437 or visit www.ctcare4kids.com. Incomplete forms may not be accepted and will delay)[will delay](1-888-214-5437 or visit www.ctcare4kids.com. Incomplete forms may not be accepted and will delay)  \n[processing.](processing.)  \nStep 3: The law requires us to report all payments to the Internal Revenue Service (IRS) for income tax purposes. If you are a new child care provider with Care 4 Kids (C4K), you must provide us with your Social Security Number or Federal Employer Identification Number and fill out an IRS W-9 form. To get a W-9 form by mail, call 1-888-214-5437, or download the form[at](at www.ctcare4kids.com. If you)[ ](at www.ctcare4kids.com. If you)[www.ctcare4kids.com](at www.ctcare4kids.com. If you)[. If you](at www.ctcare4kids.com. If you) have already submitted a W-9 form to us, you do not need to fill out a new form unless your information has changed. Care 4 Kids does not withhold income taxes. Providers are responsible for paying taxes to the IRS and the State of Connecticut.  \nStep 4: Submit the filled out form to: Care 4 Kids, 1344 Silas Deane Highway, Rocky Hill, CT 06067 or fax it to: 1-877-868-0871.  \nSECTION 1: PARENT INFORMATION ( To be completed by Parent )  \nParent Name:  C4K Case Number:  Last Name, First Name, Middle Initial  \nParent Address: City, State, Zip Code:  Telephone Number: (Primary) (Secondary)  Reason for submitting this form: 􀂈 Part of my Application or Redetermination 􀂈 Reporting changes or a new provider  \nSECTION 2: CHILD CARE PROVIDER INFORMATION ( To be completed by Provider )  \nWhat type of child care provider are you?  \n􀂈 Unlicensed Individual (relative)  \n􀂈 Licensed Family Child Care Home  \n􀂈 Licensed Child Care Center  \n􀂈 Licensed Group Child Care Home  \n􀂈 Licensed Youth Camp  \n􀂈 Exempt Youth Camp  \n􀂈 Exempt Center Based Program  \nAre you accredited by any of the following? (check if yes)  \n􀂈 National Assoc. for the Education of Young Children (NAEYC)  \n􀂈 Council on Accreditation (COA)  \n􀂈 New England Assoc. of Schools and Colleges (NEASC)  \n􀂈 National Assoc. for Family Child Care (NAFCC)  \nSECTION 2A: LICENSED CHILD CARE PROVIDERS / EXEMPT PROGRAMS ( To be completed by Provider )  \nPROVIDER NAME  \nCenter Name:  Licensed Home:   \n(Last) (First)  \nAddress where child care is provided:    \nStreet City State Zip Code  \nTelephone Number: ( )   \nDate of Birth:  C4K Provider ID: License Number:  Family Home Providers Only  \nFamily Home Providers Only: 􀂈 I understand I must complete the pre-service training requirement prior to becoming eligible for payment. For more information, [visit www.ctcare4kids.com](visit www.ctcare4kids.com).  \nPlease list the address you would like notices to be mailed if different from the address where child care is provided:  \nStreet Address:  City, State, Zip Code:   \nCare 4 Kids PPA (rev. 7/2019) Page 1 of 5  \n\n|","cbCaipanoSdkwwwi","https://ap.wps.com/l/cbCaipanoSdkwwwi","pdf",1002757,"English","# Parent Information\n# Child Care Provider Information\n## Licensed Child Care Providers / Exempt Programs\n## Unlicensed Relative Child Care Providers","[{\"question\":\"Who must complete which sections of the Parent-Provider Agreement Form?\",\"answer\":\"The parent completes Sections 1, 3, and 5, and the child care provider completes Sections 2, 3, and 4.\"},{\"question\":\"What information is required from licensed or exempt child care providers?\",\"answer\":\"Providers must provide provider name, center/home details (including address and phone), and required identification fields such as C4K Provider ID and license number.\"},{\"question\":\"What tax reporting requirements apply to payments under this agreement?\",\"answer\":\"The law requires payment reporting to the IRS. New providers must provide a Social Security Number or Federal Employer Identification Number and complete an IRS W-9; providers are responsible for paying income taxes to the IRS and the State of Connecticut.\"}]","Parent-Provider Agreement Form - 2020 | PDF",1789814612]