Consent and Authorization for Release of Information Form for in Home, License Exempt, Family Child Care Homes II, and Child Care Centers is a legal document that was released by the Nebraska Department of Health and Human Services - a government authority operating within Nebraska.
Q: What is the Consent and Authorization for Release of Information Form?
A: The Consent and Authorization for Release of Information Form is a document used for in-home, license exempt, family child care homes I and II, and child care centers in Nebraska.
Q: What is the purpose of this form?
A: The purpose of this form is to obtain consent from parents/guardians to release information about their child or children in the context of child care services.
Q: Who needs to fill out this form?
A: Parents or guardians of children attending in-home, license exempt, family child care homes I and II, and child care centers in Nebraska need to fill out this form.
Q: What type of information may be released with this form?
A: With this form, information such as the child's health, medical history, emergency contacts, and other relevant details may be released with the consent of the parents or guardians.
Q: Is this form required by law in Nebraska?
A: Yes, this form is required by law for in-home, license exempt, family child care homes I and II, and child care centers in Nebraska.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Nebraska Department of Health and Human Services.