Relative Child Care Vendor Application

Thank you for applying to be a Workforce Solutions Vendor. We appreciate your help in serving our customers. This form should only be used for Relative Care Vendors.

 
 
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This can be found on your Listed Family Home Notice from DFPS/ Child Care Licensing. If your home is not listed, please go to this link for more information. https://www.hhs.texas.gov/doing-business-hhs/provider-portals/protective-services-providers/child-care-licensing/become-a-child-care-home-provider/child-care-home-provider-application-forms

 
 
 
 
 
 

This is the name of the customer whose children you will be providing care for.

 
 

List the full name of all of the children you will be keeping.

 

In order to qualify for relative care, the child must be one of the relations in the drop box.

 

Required Documents

You must submit the documents below and confirm you have attached them by clicking the box below each document. To attach the documents, see the Upload File section at the bottom of this page.

 

Please make sure you upload a clear copy for our records.

 

Please upload a copy of your letter

 

This letter is provided by the Department of Family and Protective Services when you applied to be a listed family home.

 

Needed to Set-up Direct Deposit.


(Once we receive all of your documents, you will receive the Direct Deposit Authorization Form and W-9)

 

Social Security Card or Letter from the IRS with your EIN number.

 

Once the Driver License/ ID, Listed Family Home Letter/Certificate, Voided Check, and SSN/EIN Letter are received, a Vendor Contract Specialist will contact you. Please make sure to check each box to validate the document was attached. Workforce Solutions cannot process your vendor application without these documents.

Drop your files here