Day Care Child Enrollment and Health History
Document Number: DWSW-13251-R
Document Title: Day Care Child Enrollment and Health History
Description: Under DWD 55, the parent/guardian completes this
form for placement in the child's file at the family day care center.
Division: Workforce Solutions
Comments: New Form - 07/2002, Translated 10/2002. This is the
Russian version.
Document Attachment: DWSW-13251-R
Software: Acrobat
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