Childcare License Exempt Provider

 

This application must be filled out, signed, and dated completely. Copies of all the following documents must be included, or your application cannot be processed.

**If you need help with your application, please contact our offices to schedule an appointment: 435.586.1112 ext. 3354

  • ALL information entered into this application needs to be provided by the provider only. Failure to do so will result in an automatic denial for our PITU Childcare program. No exceptions and no appeal.
  • You herby authorize the Paiute Indian Tribe of Utah, or its designee to access and review state and federal criminal history records and understand you may have to get a background check before being approved.
  • The PITU childcare coordinator will be in touch with you after the application is fully filled out on next steps or approval.
  • The childcare provider will report monthly to the Childcare Coordinator and turn in hours sheet. All payments must go to the provider and the provider only.
  • The childcare provider will report to the Childcare coordinator within 10 calendar days: Of any change in the household while being a PITU Childcare provider. Or a person age 12 or older moving into the home, any felony and misdemeanor arrests, charges or convictions (from the date of the arrest or notice of the charge, or conviction) Failure to notify the Childcare Coordinator may result in the provider being responsible for an overpayment for all Childcare payments and or subsidy amounts received between the finding and when it is reported or discovered.
  • ALL childcare providers are approved for up to 50 hours a month.  Anything above the allowed time is between the parent(s) and provider.
  • If you are ever kicked off the PITU childcare license exempt provider program you may reapply next year.
  • The program can also purchase health, safety and educational supplies for childcare providers and parents (such as smoke detectors, first aid kits, safety gates, snacks and household supplies quarterly, books, and educational toys all within reason).

    For APPLICATION QUESTIONS, contact Stacy Halladay in Family Services at 435-586-1112, ext. 3354.

    Childcare License Exempt Provider Application