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Attendance Sheet Instructions Part 1: The Front

Attendance Sheet Instructions - The Front

Understanding Attendance Sheets

1. Preprinted Month and Year

This is pre-printed on each time sheet and must be used for the appropriate month.

2. Preprinted Barcode

This is a unique identifier for each attendance sheet and is specific for each child, month and year.

3. A.S. Id

This is the Attendance Sheet Identification number and is another unique identifier for each attendance sheet.

4. For Office Use Only

Please do not write in this area; it is used by agency staff to process monthly attendance sheets.

5. Date

This represents the number day of the month. For example: the number 1 is the 1st day of the month and the number 23 is the 23rd day of the month.

6. Parent/Guardian Time In Am/Pm

Enter the ACTUAL time the child was dropped off at the center or provider’s home.

7. Use for Split Schedule Time Out/Time In

Times are entered here ONLY if the parent/guardian will be picking up the child from the provider’s center/home more than once in one day (i.e. leaving and then returning for a doctor’s appointment). The TIME OUT would be the 1st occurrence in which the child was picked up from the center or provider’s home. The TIME IN would be the 2nd occurrence in which the child was dropped off at the center or provider’s home.

8. Parent/Guardian Time Out AM/PM

Enter the ACTUAL time the child was picked up from the center or provider’s home.

9. Provider Use for School Schedule, School Start and School End

Providers must enter the ACTUAL time a child departs from the center or provider’s home and goes to school and when the child returns from school (PROVIDER USE ONLY).

10. Absence Reason

Enter a reason here when a child does not use care when regularly scheduled. Example: parent day off, provider closed, child sick, vacation, etc. In addition, if a child uses child care on a day they would normally be in school, write the reason for their absence from school: Example: no school, sick, vacation, etc.

11. Parent Signature and Date

Parent/guardian must sign their LEGAL signature; payment CANNOT be made without it.

12. Provider Signature and Date

The provider, or center’s authorized representative, must sign their LEGAL signature here; payment CANNOT be made without it.

13. Provider’s Billing (Licensed Homes/Centers Only):

a. Total Hours of Care: Enter the number of hours of care billed multiplied by the licensed provider’s hourly rate.
b. Total Days of Care: Enter the number of days billed multiplied by the licensed provider’s daily rate.
c. Total Weeks of Care: Enter the number of weeks billed multiplied by the licensed provider’s weekly rate.
d. Total Month of Care: Enter 1 multiplied by the licensed provider’s monthly rate.

The licensed provider or licensed center authorized representative must enter the amount calculated from either a, b, c, and/or d above and enter it in “Total Due”. Add any additional charges (Eve/Weekend or Misc. Fees). If the parent has a family fee, enter that amount paid under “Family Fee”. Balance due is the amount “billed” to Supportive Services, Inc.

Total Due    + (plus)    Eve/Weekend and/or Misc. Fees   – (minus)    Family Fee   =   Balance Due

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NOTE: If a licensed home/center has multiple posted rates on file, enter the one fee (Hourly, Daily, Weekly, or Monthly) that is being assessed. The lessor of the licensed home/center’s posted rate or the Regional Market Rate will be applied.

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