Parent Agreement for Use of The

PARENT AGREEMENT FOR USE OF THE

CHILD CARE AUTOMATED ATTENDANCE CARD

Parent/Caretaker: ______

(print name)

As a requirement for receiving child care services, I agree to the following:

• I understand that use of the Child Care Attendance Automation card (attendance card) is mandatory.

• I must use the attendance card to report attendance and absences.

• If I do not report attendance or absences using the attendance card, I may be responsible for paying my provider.

• Each day that I do not report attendance/absence using the attendance card, it will be counted as an absence

• I will be notified when my child/ren reaches 50 percent and 75 percent of the allowed absences.

• I understand that the provider cannot collect double reimbursement for unreported attendance.

• If I misplace my attendance card, I can receive one replacement card free of charge. I will be charged a $10.00 fee for the second replacement card and a $15.00 fee for the third replacement card.

• I can designate up to three individuals as secondary cardholders to report attendance and absences on my behalf;

• The secondary cardholder must be at least 18 years old, unless the individual is the child’s parent.

• I must not designate the owner or director of the child care facility as a secondary cardholder.

• I am responsible for any misuse of the attendance card by any secondary cardholder.

• I am responsible for watching the client training video.

• I am responsible for checking the message on the POS machine after each swipe to see if it is approved, denied, or pending. If the message shows denied or pending, I am responsible to report the problem to my caseworker immediately.

• I am responsible for informing any secondary cardholders of these requirements and their responsibility for using the attendance card.

I also understand that my child care services can be grounds for a potential fraud determination if I or the secondary cardholder:

• gives the attendance card to someone else—including the child care provider; or

• gives the personal identification number to someone else.

I acknowledge that I have read and agreed to this parent agreement, and all of my questions about this agreement have been answered:

Parent Signature: ______Date: ______

The Texas Workforce Commission prosecutes fraud to ensure that child care funds are maximized for qualified families. To report suspected fraud, call the fraud hot line at (800) 252-3642.

Workforce Solutions for the Heart of Texas - Child Care Services

1416 S. New Road, 2nd Floor ▪ Waco, Texas 76711 ▪ (254) 296-5374 ▪ FAX (254) 753-6355

The Heart of Texas Workforce Board, Inc. is an equal opportunity employer/programs and auxiliary aids and services are available upon request to include individuals with disabilities. TTY/TDD via RELAY Texas service at 711 or (TDD) 1-800-735-2989 / 1-800-735-2988 (voice).