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LIFE’S CHECKLISTS · FREE WORKSHEET

Childcare visit question sheet

Organize administrative questions and next actions. Keep identity numbers, clinical records and children’s identifying information in the responsible organization’s secure process. This is a planning worksheet, not an official application or authorization.

First read the completed example. Then write your own answers in the blank sections. If you do not know an answer, write what you need to ask. Official applications may require their own forms.

Completed example

This is a fictional practice entry. Write your own details in the blank sections below.

Topic to ask about
Authorized pickup
Written policy to review
Center's written pickup policy
Question
What must my backup adult bring?
Provider answer
Named list and photo ID per center policy
Still unconfirmed
Whether digital ID is accepted
Next action
Ask director before adding backup adult

Date: ____________________

Item 1

Written policy to review

Question

Provider answer

Still unconfirmed

Next action

Item 2

Written policy to review

Question

Provider answer

Still unconfirmed

Next action

Item 3

Written policy to review

Question

Provider answer

Still unconfirmed

Next action

Item 4

Written policy to review

Question

Provider answer

Still unconfirmed

Next action

Notes:

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