Blank New Hampshire 2631 PDF Form

1. What is the purpose of the New Hampshire 2631 form?

   The New Hampshire 2631 form is an agreement for license-exempt child care providers who wish to participate in the Child Care and Development Fund (CCDF) Scholarship Program. By signing this form, providers agree to comply with all relevant laws, rules, and policies associated with the program.

2. Who can fill out the New Hampshire 2631 form?

   Any individual who meets the criteria of being a license-exempt child care provider can complete this form. To qualify, the provider must be at least 16 years old, not reside in the same home as the child or parent for whom they are providing care, and must not provide care for their own children. Additionally, they may care for a maximum of three children who are not their own at any given time.

3. What are the billing requirements outlined in the form?

   Providers must bill the Department of Health and Human Services (DHHS) weekly for services rendered in the previous week. This can be done using the Child Care Payment Request Invoice (Form 2500) or through an automated web billing system. It is crucial that invoices are completed accurately and submitted within 90 days of service to ensure payment.

4. What records must a child care provider maintain?

   Providers are required to keep daily attendance records, which should include start and stop times along with the parent or guardian's signature. Additionally, all billing-related records must be maintained for a period of seven years. This documentation is essential for compliance and may be requested by DHHS or its agents.

5. What happens if a provider fails to comply with the agreement?

   Failure to comply with the terms of the New Hampshire 2631 form can lead to termination from the CCDF Scholarship Program. Moreover, if there is evidence of fraudulent billing, the provider may face disqualification from the program for a minimum of five years.

6. How does the agreement affect the provider's tax obligations?

   Providers are responsible for reporting any funds received under this agreement as income to DHHS if they are receiving other services from the department. Additionally, they must pay all required federal and state taxes. If total reportable payments from all state agencies reach $600 or more, DHHS will issue a Form 1099 in January of each year, except for nonprofit agencies or corporations.

7. Can the agreement be terminated?

   Yes, either party can terminate the agreement without cause by providing 30 days' written notice via registered mail. However, the agreement may also be terminated without notice if the provider has not billed for over a year or if there are concerns regarding a child's health or safety.

8. What should a provider do if they believe they have received an overpayment?

   Providers are obligated to contact DHHS if they suspect they have received an overpayment. It is essential to address such issues promptly to avoid complications related to billing and compliance.

9. What is the significance of the Personal Identification Number (PIN)?

   If a provider opts to use the automated web billing method, DHHS will assign them a Personal Identification Number (PIN). This PIN is crucial as it is used to submit invoices electronically. The provider is responsible for all invoices submitted using their PIN, which is non-transferable.

• Misconception 1: The New Hampshire 2631 form is only for licensed child care providers.

This form is specifically designed for license-exempt child care providers. Many people mistakenly believe that only licensed providers can participate in the Child Care and Development Fund (CCDF) Scholarship Program. However, this form allows those who meet certain criteria to also receive funding.

• Misconception 2: Signing the form creates an employer-employee relationship.

Some individuals think that by signing the New Hampshire 2631 form, they are entering into an employer-employee relationship with the state. In reality, this agreement clarifies that the child care provider is an independent contractor, not an employee of the Department of Health and Human Services (DHHS).

• Misconception 3: Providers can bill for any child care services rendered.

It's a common belief that providers can bill for any service they offer. In fact, the form stipulates that billing must align strictly with the terms of the agreement, including only charging for hours when children are in attendance.

• Misconception 4: There are no consequences for inaccurate billing.

Some providers may think that they can submit invoices without concern for accuracy. This is not true. The agreement clearly states that inaccurate or fraudulent billing can lead to recovery of payments and even disqualification from the program.

• Misconception 5: The form does not require record-keeping.

Another misunderstanding is that providers do not need to keep records. In reality, the form requires providers to maintain daily attendance records and other documentation for seven years, ensuring compliance with the program's requirements.

• Misconception 6: Providers can submit invoices without being present during child care.

Some may believe that they can submit invoices for services even if they were not present. However, the agreement mandates that providers must be present and directly provide care for the children during the hours billed.

The New Hampshire 2631 form is a critical document for license-exempt child care providers participating in the Child Care and Development Fund (CCDF) Scholarship Program. Several other forms and documents are often used in conjunction with this agreement to ensure compliance and proper billing procedures. Below is a list of these related documents, each with a brief description.

• Child Care Payment Request Invoice (Form 2500): This form is used by child care providers to request payment for services rendered. Providers must submit this invoice weekly, ensuring it reflects accurate attendance and billing information.
• Form 1099: Issued by the Department of Health and Human Services (DHHS) in January, this form reports total payments made to the provider. It is generated if the total reportable payment from all state agencies equals $600 or more within a calendar year.
• Child Care Provider Background Check Authorization Form: This document allows DHHS to conduct background checks on child care providers. It is essential for ensuring the safety and welfare of children in care.
• Attendance Record Template: Providers are required to maintain daily attendance records that include start and stop times and parent/guardian signatures. This template helps ensure compliance with record-keeping requirements.
• Provider Agreement Amendment Form: If there are changes to the terms of the original provider agreement, this form is used to document those amendments formally. It ensures that all parties are aware of any modifications.
• CCDF Scholarship Program Guidelines: This document outlines the rules and regulations governing the CCDF program. Providers should familiarize themselves with these guidelines to ensure compliance.
• Tax Reporting Information Sheet: This sheet provides information on the tax obligations for child care providers receiving payments under the CCDF program, including how to report income and any necessary deductions.
• Provider Training Completion Certificate: This certificate is issued upon the completion of required training for child care providers. It may be necessary for compliance with program requirements.
• Texas Real Estate Purchase Agreement: This form is essential for transactions in Texas, detailing terms such as purchase price and obligations of both parties, as outlined by TopTemplates.info.
• Emergency Contact Information Form: This form is used to collect emergency contact details for children in care. It is crucial for ensuring the safety and well-being of the children.

These documents collectively support the operational and regulatory framework within which license-exempt child care providers function in New Hampshire. Proper completion and adherence to the guidelines associated with these forms are essential for maintaining compliance with the CCDF Scholarship Program.

• Child Care Payment Request Invoice (Form 2500): Similar to the New Hampshire 2631 form, this document is used by child care providers to request payment for services rendered. It requires accurate billing and compliance with the guidelines set forth by the Department of Health and Human Services.
• Child Care Provider Enrollment Form: This form is used for enrolling child care providers in state programs. Like the 2631 form, it includes requirements for eligibility and compliance with state regulations.
• Child Care Assistance Application: This document allows families to apply for financial assistance for child care services. It shares similarities with the 2631 form in that both require adherence to specific rules and regulations.
• Provider Agreement for the Child and Adult Care Food Program (CACFP): This agreement outlines the responsibilities of providers participating in the food program. It is similar in structure and intent, ensuring compliance with federal and state guidelines.
• Child Care Licensing Application: While the 2631 form is for license-exempt providers, this application is for those seeking a license. Both documents require detailed information and adherence to state standards.
• Background Check Authorization Form: This form is necessary for child care providers to authorize background checks. Similar to the 2631 form, it ensures the safety of children in care by verifying the provider's qualifications.
• Service Agreement for Home-Based Child Care: This agreement outlines the terms between parents and home-based providers. Like the 2631 form, it emphasizes compliance with specific guidelines and responsibilities.
• California ATV Bill of Sale Form: This legal document is essential for recording the sale and transfer of an ATV's ownership in California. For more details, visit onlinelawdocs.com/california-atv-bill-of-sale/.
• Tax Form 1099: This form is issued to report income for tax purposes. The 2631 form also discusses tax responsibilities for child care providers, highlighting the importance of accurate financial reporting.
• Termination Notice for Child Care Services: This document is used when a provider or parent wishes to terminate child care services. It mirrors the termination clauses found in the 2631 form, emphasizing the need for proper notification.

Here are key takeaways regarding the New Hampshire 2631 form, which is essential for license-exempt child care providers participating in the Child Care Development Fund (CCDF) Scholarship Program:

• Eligibility Requirements: Providers must be at least 16 years old and cannot reside in the same home as the child receiving care.
• Billing Compliance: Providers must bill only for services rendered and ensure that invoices are submitted within 90 days of service.
• Child Limitations: A provider can care for a maximum of three children, excluding their own.
• Attendance Records: Keeping daily attendance records, including start and stop times, is mandatory and should be maintained for seven years.
• Confidentiality: Providers must keep all information regarding children and families confidential, except as permitted by law.
• Personal Identification Number (PIN): If using the automated web billing system, providers will receive a non-transferable PIN for submitting invoices.
• Tax Responsibilities: Providers must report income received under this agreement and are responsible for all applicable federal and state taxes.
• Termination Conditions: The agreement can be terminated without cause with 30 days written notice, or immediately if safety is compromised or fraud is detected.
• Fraudulent Claims: Providers found to have committed fraud will be disqualified from the program for at least five years.
• Record Keeping: Providers should retain a copy of the signed form for their records and ensure that all information is complete to avoid delays.

Understanding these points can help ensure compliance and smooth operation within the CCDF Scholarship Program. Always read the entire agreement carefully and reach out for clarification if needed.