Child Care Form 30- Staff Schedule

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Child Care Form 30- Staff Schedule Powered By Docstoc
					                                                          Home based care – carer and adult occupant register                                                Child care
                                Child Care Act 2002 (Section 27, 74, 85 and 137) Child Care Regulation (Section 103) Queensland                                form 34




                                                                         Privacy Notice
The Department of Education and Training (DET) is collecting information, including personal information, about the personal and positive prescribed notice or
exemption notice details of Adult Occupants and Home Based Carers within a licensed scheme. This collection is in accordance with the Child Care Act 2002 and
Child Care Regulation 2003. The information will be accessed by Authorised Officers and relevant staff members within the department.

Personal information will not be disclosed to any other person or agency unless you have given DET permission or the disclosure is for an authorised purpose
described in section 168 of the Child Care Act 2002. These authorised purposes include disclosures for a purpose of the Child Care Act 2002 or for child protection
and welfare, or where the disclosures are expressly permitted or required under another Act.

Information may also be disclosed to the relevant Tribunal if a person applies to have a decision reviewed as described in section 163 of the Child Care Act 2002.
Disclosure to other Queensland Departments and relevant entities in other jurisdictions may also be permitted in accordance with sections 169 or 170 of the Child
Care Act 2002.

The Home based care – carer and adult occupant register should be completed and provided to a local DET regional office with any new or renewal licence application and
within one week of commencement of any family day carer or adult occupant. Licensees are encouraged to provide this register in an electronic format via email. DET regional
office contact details are available at www.education.qld.gov.au/earlychildhood or by calling the Child Care Information Service on 1800 637 711 (24 hours, 7 days)

Schedule 2 Child Care Act 2002 defines an “occupant” of a home in which child care is provided as a person who resides in the home or is usually present in the home when child
care is provided,
Licensee and Service Details


Licensee Name         __________________________________________________________

Nominee/Contact Name             __________________________

Nominee/Contact Phone Number             _________

Nominee/Contact Email Address                ____________________________

Service Name               _________________________________

Service Address                  _________________________________________


Child care form 34                                                                                                                       Department of Education and Training
Feb 2011                                                                                    Version No.1                                                                Page 1 of 5
TRIM: 2010/ 009438
 Name of carer       Carer     Address of carer   Carer’s       Name of adult     Adult      Address of adult    Adult                 Current
                     date of                      positive      occupant          occupant   occupant            occupant’s            status
                     birth                        prescribed                      date of                        positive              (Current
                                                  notice or                       birth                          prescribed            or date
                                                  exemption                                                      notice or             no longer
                                                  notice                                                         exemption             with
                                                  expiry date                                                    notice                scheme)
                                                                                                                 expiry date




Child care form 34                                                                                          Department of education and Training
Feb 2011                                                                 Version No.1                                                       Page 2 of 5
TRIM: 2010/ 009438
 Name of carer       Carer     Address of carer   Carer’s       Name of adult     Adult      Address of adult    Adult                 Current
                     date of                      positive      occupant          occupant   occupant            occupant’s            status
                     birth                        prescribed                      date of                        positive              (Current
                                                  notice or                       birth                          prescribed            or date
                                                  exemption                                                      notice or             no longer
                                                  notice                                                         exemption             with
                                                  expiry date                                                    notice                scheme)
                                                                                                                 expiry date




Child care form 34                                                                                          Department of education and Training
Feb 2011                                                                 Version No.1                                                       Page 3 of 5
TRIM: 2010/ 009438
 Name of carer       Carer     Address of carer   Carer’s       Name of adult     Adult      Address of adult    Adult                 Current
                     date of                      positive      occupant          occupant   occupant            occupant’s            status
                     birth                        prescribed                      date of                        positive              (Current
                                                  notice or                       birth                          prescribed            or date
                                                  exemption                                                      notice or             no longer
                                                  notice                                                         exemption             with
                                                  expiry date                                                    notice                scheme)
                                                                                                                 expiry date




Child care form 34                                                                                          Department of education and Training
Feb 2011                                                                 Version No.1                                                       Page 4 of 5
TRIM: 2010/ 009438
 Name of carer           Carer         Address of carer       Carer’s          Name of adult        Adult      Address of adult    Adult                 Current
                         date of                              positive         occupant             occupant   occupant            occupant’s            status
                         birth                                prescribed                            date of                        positive              (Current
                                                              notice or                             birth                          prescribed            or date
                                                              exemption                                                            notice or             no longer
                                                              notice                                                               exemption             with
                                                              expiry date                                                          notice                scheme)
                                                                                                                                   expiry date




To be completed by the individual providing the information


   Date information current and provided

   Name of individual

   Position

   Signature                                                                Date   /   /



Child care form 34                                                                                                            Department of education and Training
Feb 2011                                                                                   Version No.1                                                       Page 5 of 5
TRIM: 2010/ 009438

				
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