Information on State Subsidy

If you are on state assistance, you will need to bring your paperwork from your caseworker to me in advance before the first day you will start here. It usually takes 2-4 weeks for approval. Until you are approved, payment will be due the first day your child starts here, in advance, until the state pays. If you have already paid me and the state comes through, you WILL NOT RECEIVE ANY CASH BACK FROM ME, YOU WILL HAVE A CREDIT TO USE HERE. 
    I will remind you of your review date and you will need to make sure you bring me all the paperwork at review time and be sure to turn it in on time or you will be responsible for all daycare fee's until the state comes through. You may only have your child here for the times listed on your daycare agreement unless pre-arranged by me.
 Payment is figured by how many billable days your child will be here in the month as I charge by the day. Paid holidays will be included. Whatever the difference is between the state and my daily rate of $25 per day/per child, is what you will owe me. I will allow you to make weekly payments for the remaining amount or you can pay the whole amount in full. ALL FEE'S remaining must be paid to me by the 20th of the month. I will always let you know what the amount will be that you will owe me each month and it will be on your sign-in sheet.
 Also, I am on the automated EBT system where I will call a number every month to transfer your money into my account. It needs to be done from my phone so I will need your card # and Pin # in case you are unable to make the transfer or you are not here or its a weekend. In the case of you leaving here, I will require 2 weeks notice  and those last 2 weeks must be paid regardless if you bring your child those last 2 weeks or not. I WILL NOT ISSUE ANY CASH REFUNDS FOR DAYCARE ASSISTANCE NOT USED! Please do not ask me for a refund, you will continue to have a credit here if you want to come back. It’s a state violation for me to refund any money to you when you’re on assistance and you could lose any future assistance. Any further questions regarding state assistance you may ask me. 
  I understand and agree to follow the state assistance policies at Diane's Home Daycare and agree to pay the difference in rates between my state assistance and the daycare's rate by the 20th of every month. 

Signed:_____________________________________ Date:__________
Case #___________ EBT Card #____________________________ Pin#____