2020 Childcare Recertification Form

Please complete all items below and attach all required documents before clicking "submit". You will not be able to successfully submit your recertification form until all required items are complete.
By checking the box below, I certify that I understand it is a crime to make a false statement on this form. If I make a false statement, I may be subject to criminal prosecution and punishment including a fine, imprisonment, or both. Federal employees may also be subject to administrative punishment, including termination of federal employment. I also certify I am still employed at the federal agency selected below. *