Nevada Child Care

Background Check Reimbursement Request

Reimbursement for background checks and fingerprint rolling fees is available to all licensed, regulated or registered child care providers (including child care centers, family child care homes, all household members over the age of 18 and any adult non-household members who will have access to the child(ren) and their staff receiving CCDBG funds). Only CCDBG-required fingerprints will be reimbursed. Reimbursement checks can be made to the program or the individual, whomever paid for the fees initially. Receipts are required for reimbursement.
State of Nevada Child Care Licensing will verify that the background check was submitted PRIOR to reimbursement of fees. This process can take up to a month.

Name of Individual Who Completed Background Check
Physical Address of Individual Who Completed Background Check
Zip

Select the type of child care setting in which the individual works. If the individual is a household member of a Family Child Care, Group Family Child Care or Family, Friend and Neighbor (FFN) provider, please select the Household Member option.

Indicate who paid for this individual’s background check and rolling fee.IMPORTANT! The reimbursement will be made out to the business or individual below. It is critical that all information is accurate.

Select the type of background check you are requesting reimbursement for.

REQUIRED: Upload all receipts. Receipts must total the amount requested. 8 MB max file size per submission.

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