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(2) the first name, middle name if applicable, and last name of the applicant;

(3) the federal taxpayer identification number of the business;

(4) the applicant’s mailing address;

(5) the applicant’s physical address;

(6) the applicant’s telephone number;

(7) the applicant’s facsimile number, if any;

(8) the applicant’s electronic mail address;

(9) a copy of a government-issued photo identification of the applicant;

(10) verification that the applicant is the only individual providing child care;

(11) the name, date of birth, and qualifying relationship for each child to be in the applicant’s care;

(12) verification of the qualifying relationship of each child in care and the applicant;

(13) the name and date of birth of each person who resides in the residence where child care is provided and that person’s relationship to the applicant;

(14) a completed and signed child care provider rates and responsibilities form, prescribed by the department, that includes the applicant’s current rates, and certifies compliance with 7 AAC 41.210;

(15) verification of compliance with 7 AAC 41.205 — 7 AAC 41.240;

(16) a completed child care provider disaster preparedness and emergency evacuation plan, on a form prescribed by the department;

(17) copies of valid pediatric first aid and cardiopulmonary resuscitation certifications;

(18) a copy of a business license under AS 43.70 to operate a child care business, and any other license, permit, or certificate necessary to perform that work as required by this state or a municipality;

(19) written acknowledgment and approval, on a form prescribed by the department, from the property owner or manager for the applicant to operate a child care business in the rental property, if the location of the business is a rental property;

(20) other information required by the department to determine whether the applicant meets the applicable requirements of this chapter; and

(21) a typical daily schedule and plan as described in 7 AAC 41.211(c)(12).

(f) A provider under 7 AAC 41.200(a)(6), who is exempt from licensure under 7