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Child Care Assistance Program Policy Manual Issued 07/2023 Provider registration 11.12 provider acknowledgment to all providers. The provider must complete and sign the registration and acknowledgment form, agreeing they have read and understand the statements on the form. Providers licensed by a state other than Minnesota or licensed by a Tribe must provide verification of their license as part of the registration process and must provide child care services in the licensing state or in the area under the Tribe’s jurisdiction. Providers under the jurisdiction of the federal government must submit verification of their ability to legally operate and must provide child care services as allowed by the federal government. Use the following letters/notices for all provider types listed below. The templates of letters/notices are on eDocs. Materials for ALL provider types Include the following attachments with all provider registration packets: • Child Care Provider’s Responsibilities and Rights (DHS-4079) (PDF) • Tennessen warning for Child Care Assistance Program providers (DHS-3985) (PDF) • Direct Deposit Form for the Minnesota Child Care Assistance Program (DHS-3552) (PDF) • Child Care Assistance Program Financial Tracking Form (DHS-5318) (PDF) • Minnesota Child Care Assistance Program Change Report Form (DHS-7196) (PDF) • Request for Taxpayer Identification Number (TIN) and Certification (IRS W-9). The Internal Revenue Service (IRS) W-9 needs to be sent to providers when they are being authorized for the first time on MEC2 or when being reactivated in the system. If the provider is currently authorized and active on MEC2, an IRS W-9 form does not need to be included with the packet. • Any additional health and safety information your CCAP agency would like to include. The department recommends making a copy of the Minnesota Child Care Assistance Program (CCAP) Child Care Provider Guide (DHS-5260) (PDF) available to all providers. Materials for specific provider types Send the appropriate Provider Registration and Acknowledgement form based on the provider type: Licensed centers Child care centers licensed by Minnesota, another state or a Tribal licensing agency. • CCAP Licensed Center Provider Registration and Acknowledgement (DHS-5190) (PDF) Licensed family child care Family child care providers licensed by Minnesota, another state or a Tribal licensing agency. • CCAP Licensed Family Child Care Provider Registration and Acknowledgement (DHS-7195) (PDF) Certified license exempt centers Centers exempt from licensing that have been certified by the Minnesota Department of Human Services. • CCAP License Exempt Provider Registration and Acknowledgement (DHS-5191) (PDF)