DRDP Online Account Request: Non California

For Childcare Agencies and School Districts

Agency Name*

This is how your agency, district, or center name will appear in DRDP Online

Requester's Name*

e-mail address*

Phone Number*

Agency ID #, School Code, District ID #, or License #*

Please add your state abbreviation to the beginning of your agency ID code. For New Hampshire this is the SAU number. Ex: NH1234

Lead Administrator or FCC Owner/Provider's Name*

This is the person confirmed by the EULA signatory as the Lead Agency Administrator in charge of administering the DRDP Online account, typically a Program Director. In New Hampshire, this may be a Special Education Coordinator.

Lead Agency Administrator's Email*

Infant Toddler View*

Please select an option even if you do not service this age level.

Select or enter value

Preschool View*

Please select an option even if you do not service this age level.

Select or enter value

Transitional Kindergarten View*

Please select an option even if you do not service this age level.

Select or enter value

View: K*

Select or enter value

School Age View*

Please select an option even if you do not service this age level.

Select or enter value

Signed EULA Form*

Please upload your signed EULA form. According to child data privacy laws to safeguard child record confidentiality and privacy, this EULA should be signed by the executive director, superintendent, State contract signatory, owner of a family child care, or the owner of a private agency.

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