Maryland State Department Of Education Child Care Attendance Sheet printable pdf download

Maryland State Department Of Education Child Care Attendance Sheet

Maryland State Department of Education

Child Care Attendance Sheet

INSTRUCTIONS:

__________________________________________________________________

Child attendance must be recorded on a daily basis. Attendance

FACILITY or PROVIDER NAME

must be indicated by time in and out in the upper diagonal box. For

each day that a child is in attendance a parent/guardian must initial

__________________________________________________________________

in the lower diagonal box under the day.

MAILING ADDRESS (NUMBER, STREET NAME)

NOTE: For Child Care Subsidy - This attendance sheet must be

__________________________________________________________________

initialed daily by the parent and submitted with your invoice for

CITY, STATE, ZIP CODE

payment. Please highlight or indicate the name of each child

receiving Child Care Subsidy. Failure to submit this form will

________________________________________________________________________________________

result in either non-payment or payment being delayed.

PROVIDER ID

CHILD’S NAME

(PLEASE PRINT)

Week of _____/_____/______ to _____/_____/______

(

First Name, Last Name)

Sun

Mon

Tues

Wed

Thurs

Fri

Sat

Sun

Mon

Tues

Wed

Thurs

Fri

Sat

OCC – Child Care Attendance Sheet (3/10)

Maryland State Department Of Education Child Care Attendance Sheet