Florida Adult Day Care Center Specialty License Affidavit of Compliance

Form Template

This form may be used by to comply with the attestation requirements of Florida Statutes, which state that the owner of an adult day care center must sign an affidavit under penalty of perjury stating that he or she has verified that the operator, and the operator’s designee has completed the education and experience requirements to be an operator.

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The Florida Adult Day Care Center Specialty License Affidavit of Compliance app is an affidavit template that requires the following information: operating/designee name, adult day care center/facility name, adult day care center/facility number, and qualification authorization.

Features
  • Signature Capture
  • Image Capture
  • Submission Editing
  • Reference Data
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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