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To fill this form, gather all necessary personal and employment information. Provide the required details in the appropriate sections. Ensure all information is accurate and up-to-date before submission.

How to fill out the Information on Person Employed in a Child Care Facility - State of Illinois?
1
Gather personal and employment information.
2
Complete the Employing Facility section.
3
Fill out the Person Employed section.
4
Provide employment and educational background.
5
Certify and sign the form before submission.
Who needs the Information on Person Employed in a Child Care Facility - State of Illinois?
1
Child care facilities need this form to document employment details.
2
Employers use this form to verify the qualifications of employees.
3
State licensing representatives require this form for compliance.
4
Human resources departments use this form for record-keeping.
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Employees may need to fill this form for their employment records.
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What are the instructions for submitting this form?
Submit the completed form to your DCFS licensing representative. Ensure all sections are filled in accurately before submission. Contact your local DCFS office for specific submission instructions.
What are the important dates for this form in 2024 and 2025?
Please refer to the submission guidelines for specific deadlines in 2024 and 2025.

What is the purpose of this form?
The purpose of this form is to collect detailed information on individuals employed in child care facilities in Illinois. The form includes sections on personal information, employment history, educational background, and physical examination details. Submitting this form ensures compliance with state regulations and helps maintain accurate employee records.

Tell me about this form and its components and fields line-by-line.

- 1. Employing Facility: Information about the facility employing the individual.
- 2. Person Employed: Personal details of the individual being employed.
- 3. Employment: Details of the individual's employment history.
- 4. Other Direct, Unpaid Experience: Any other relevant experience with children.
- 5. Educational Background: Information about the individual's educational qualifications.
- 6. Physical Examination: Details of the individual's recent physical examination.
- 7. Certification of Employment: Certification by an authorized official regarding the individual's employment.
What happens if I fail to submit this form?
Failure to submit this form may result in non-compliance with state regulations and potential employment verification issues.
- Non-Compliance: Failure to comply with state regulations governing child care facilities.
- Employment Verification: Challenges in verifying the employment status and qualifications of individuals.
How do I know when to use this form?

- 1. New Employment: Submit the form when hiring a new employee.
- 2. Employment Verification: Use the form to verify the qualifications of existing employees.
- 3. Compliance Audits: Required during compliance audits by state licensing representatives.
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