Showing posts with label late pick up agreement. Show all posts
Showing posts with label late pick up agreement. Show all posts

Wednesday, May 27, 2015

When the parents are late to pick un their children



Friday, March 20, 2015

DCFS FORM: Late Pick up agreement

DCFS FORM

LATE PICK-UP AGREEMENT

The following agreement is made between ______________________and_________________________
Parents/Guardians                                                      Provider
____________for the pick-up of their child/children ___________________, ______________________
Name                                                                                   name           name
____________________, __________________, _ _______________ from the day care — home/group.
                        Name                                                           name                                                           name

I/we agree to pick up the above named child/children before ____________ he/she/they are in child care o'clock p.m. every day

If I/we fail to pick up my/our child/children by the appointed time, I/we understand that a late fee of ___________ per quarter hour (or portion thereof) will begin to accrue after the above stated pickup time.

If I/we fail, without notice, to pick up my/our child/children at the above stated time, or arrange for someone else to pick them up, the provider will make 3 attempts to contact me/us. If the provider is unable to contact me/us, the provider should contact the emergency person listed on the Application/Record of Child Information sheet, or person on the contingency list, to advise them my/our child/children are still in their care without notice from me/us. If, for any reason, there is no telephone service the provider will contact police to request assistance in contacting me/us or my/our emergency persons.

Provider agrees to keep my/our child/children for 1 hour after the above stated pick-up time, with late fees accruing, before contacting the local police and/or the Child Abuse Hotline if contact cannot be made with parents/guardians or emergency persons.

Provider will continue normal responsibilities for the child's protection and well being and agrees not to discuss your tardiness in arriving with your child/children beyond reassuring them you or someone known to them will be there soon to pick them up.

Parents/Guardians agree to advise provider immediately of any changes regarding their personal contact information, including addresses and phone numbers for home and work and cell phone numbers. Parents/Guardians also agree to provide immediate notice to the provider of any changes for their emergency contact or contingency persons.

______________________________________                           ______________________________________
Parent/Guardian                                                                                                                                  Provider A
______________________________________                           ______________________________________
Patent/Guardian                                                                                                                                  Provider B
______________________________________                           ______________________________________
Date signed                                                                                                                                             Date signed


This form meets the requirements of Rule 406.12(h), Rule 407.260(f) and Rule 408.60(j)