Non‑Payment Reporting

Providers are required to submit a Non-Payment Report when a parent fails to make required child care payments, in accordance with local Child Care Services policy.

When submitting a Non-Payment Report, the following information must be provided:

*Details
*Authorized Representative
*Family Details
*Last Payment
*Payment Cycle Dates
*Attendance Dates
*Amount Owed

Non-Payment Report must be made within the current Payment Service Month.

All Requests are subject to review and verification.

Provider Details

Child Care Regulation Licensing No

Name of Facility

Authorized Representative

Name of Authorized Provider Representative

Authorized Rep Phone Number

Authorized Rep Email

Family Details

Parents Full Name

Family Case Number

Child(ren) Full Name(s)

Last Payment

Family's Weekly Fee

Last Payment Received Date

Last Payment Amount

Payment Dates

Payment Start Date

Payment End Date

Attendance Dates

Attendance Period Start Date

Attendance Period End Date

Amount Owed to Providers

Amount Owed

I certify that the information provided is accurate to the best of my knowledge.

Provider Certification

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After Submission

Once you submit, your Non-Payment case is sent to our team and assigned to a dedicated Payment Coordinator who will start handling it.

Processing

Our customer service team strives to address all Non-Payment reports within two days. For immediate assistance, please reach out to our hotline.

Confirmation

Providers will be notified once the Pay Rate is updated or reached out to if further details are required.

​​Non‑Payment Reporting

Provider Details

Authorized Representative

Family Details

Last Payment

Payment Dates

Attendance Dates

Amount Owed to Providers

I certify that the information provided is accurate to the best of my knowledge.

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After Submission

Processing

Confirmation

Non‑Payment Reporting

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