An Application Packet Page 8
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14PARENT AGREEMENT TO REPORT CHILD CARE ATTENDANCE
Case Name
Case # _______________
________________________________________
(Please Print Name)
I understand that my child’s care may be terminated without prior notice if my child is absent for
five days in a row without contacting the child care provider or Workforce Solutions Northeast
Texas, and care cannot continue during an appeal of the termination. I understand that I may
not reapply for care for 30 days.
As a requirement for receiving child care services, I agree to the following:
I understand that use of the Child Care Attendance Automation card (attendance card) is
mandatory.
I must use the attendance card to report attendance and absences.
If I do not report attendance or absences using the attendance card:
my child care services may be terminated; and
I may be responsible for paying my provider.
I can designate up to three individuals as secondary cardholders to report attendance and
absences on my behalf.
The secondary cardholder must be at least 16 years old, unless the individual is the child’s
parent.
I must not designate the owner, assistant director, or director of the child care facility as a
secondary cardholder.
I am responsible for any misuse of the attendance card by any secondary cardholder.
I am responsible for informing any secondary cardholders of these requirements and their
responsibility for using the attendance card.
I also understand that my child care services can be terminated if I or the secondary cardholder:
gives the attendance card to someone else—including the child care provider; or
gives the personal identification number to someone else.
I must report to Workforce Solutions instances when my attempt to record attendance is
denied or rejected and cannot be corrected at the provider site. If I do not report to
Workforce Solutions, the failure to report attendance may result in an absence. I
understand any day I fail to report attendance is considered a paid absence even if the
child is present. A child on a regular schedule is allowed a maximum of 45 absences per
enrollment year. A child on a varied schedule is allowed a maximum of 60 absences per
enrollment year. When the child reaches the maximum absences, his/her care will end. I
may not reapply for care for 30 days.
If I fail to report attendance for 10 consecutive days when a new card is issued to me and
I have not reported that the card has not been received, care will be terminated. If I fail to
report attendance for 10 consecutive days after the card is activated, care will be
terminated unless I have reported that my card has been lost or stolen or there has been
a technical problem with recording attendance,. I understand that I may not reapply for
care for 30 days.
I acknowledge that I have read and agreed to this parent agreement, and all of my questions
about this agreement have been answered:
__________________________________________
_________________________
Parent Signature
Date
The Texas Workforce Commission prosecutes fraud to ensure that child care funds are maximized for qualified
families. To report suspected fraud, call the fraud hot line at (800) 252-3642.
Rev. 3-13
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