Instructions: |
On the bottom of the form please do the following:
1. Select the option to release the information to the Child Care Development Fund (CCDF) Lead Agency Representative;
2. Type in Arkansas Department of Human Services DCCECE
3. Type in Kayla Bodi, Regulatory Unit Program Manager
4. Type in 700 Main Street. P.O Box 1437 Slot S-150 Little Rock, AR 72203 as the CCDF Lead Agency Mailing Address; and then
5. Sign and mail in the form with the requested ID documents according to the instructions on the form.
6. Locate the fingerprint cards at your local police department. |