Child Care Services (CCS) Transfer Request

Parents and/or legal guardians have the option of transferring their children from one suitable child care facility to another. To request a transfer, please complete the form below and submit. Transfer Request Please be aware that 1)CCS will process your transfer request within 5 days of request submission 2)There must be space at the new provider's facility and 3)Your recording of attendance must be current within the past 5 days.
* required information
Workforce Solutions Upper Rio Grande Child Care Services 

Transfer Request
Case Number (Please call our office if you do not know your case number):
First Name:*
Last Name:*
Name of Provider transferring to:*
Provider's address:*
City, State & Zip:*
Provider's telephone number:*
If offered by day care, is transportation needed?: Yes
No
If transportation is needed please mark the applicable box: Residence to Provider
Providence to Residence
Provider to School
School to Provider
Children Transferring (Please list the names of children being transferred):*
Effective date of transfer:(mm/dd/yyyy)
Please confirm transfer status via:* Internet
U.S. Mail
Telephone
Email:
Phone:*
Alternate Phone:
Address Line 1:*
Address Line 2:
City:*
State:
ZIP/Postal Code:
Please be sure to provide us with an e-mail address. Your transfer request confirmation will be sent to your inbox.