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1. No NABCS Case found The Designee will complete the Background Check Program NABCS: CCPO Provider/ Facility Account Form, revised as of: 3/11/16, for new Approved Relative and In-home child care provider applications received. The CCPO Provider/ Facility Account Form can be found in NABCS under the Help link in the upper right corner. The forms are oversight agency specific so be sure to use the CCPO form. The CCPO Provider/ Facility Account Form is completed by typing: a. The Facility name as it has been created in the IntegratedChild Care Information System (ICCIS); b. Provider Type: should already be populated with Other- Childcare; c. Programs(s): select Child Care Facility; d. License #: The provider’s ICCIS number; e. The provider’s First Name; f. The provider’s Last Name; g. The provider’s Email address; h. The provider’s Mailing address; i. Action Needed: Select New Facility; and j. Name, Title and phone number of the staff member completing the form. The Designee will print a copy for the provider’s file and scan the completed Background Check Program NABCS: CCPO Provider/Facility Account Form and email it to the Alaska Background Check Program (BCP) at BCUnit@alaska.gov and copy the CCPO at dpaccp@alaska.gov.

2. Case found in NABCS – Disabled When a NABCS search results in an existing case for the applicant, this same provider case is used. If the provider’s case in NABCS has a Status of Disabled, the Designee will complete the Background Check Program NABCS: CCPO Provider/ Facility Account Form, by typing: a. The Facility name as it has been created inICCIS; b. Provider Type: should already be populated with Other- Childcare; c. Programs(s): select Child Care Facility; d. License #: The provider’s ICCIS number; e. The provider’s First Name; f. The provider’s Last Name; g. The provider’s Email address; h. The provider’s Mailing address; i. Action Needed: Select Change Programs and in the description space, request the provider be enabled; and