DNSSAB | WEG Inquiry Form

This information is collected under the legal authority of the Child Care and Early Years Act, 2014 for administering the programs and services prescribed or authorized under this Act.

Yes, I give permission to store and process my data

First Name

Daytime Phone Number

Licensed Child Care Agency

I am currently employed with the agency listed on this inquiry form

Yes

Last Name

Child Care Site

Start Date of Employment

Contract/Position Within the Agency

Educator

Supervisor

Home Child Care Visitor

Home Child Care Provider

Other

End date of Employment (if applicable)

Type of Employment Contract

Full Time

Part-Time

Supply/Casual/Call-In

Other

My inquiry is in regards to hours worked in (please specify year)

Reason for inquiry (please check all boxes that apply to you)

I would like to know if the licensed child care agency has been approved for wage enhancement grand/HCCEG funding

I do not agree with the amount received from the Agency for wage enhancement grant/HCCEG funding

I did not receive any wage enhancement grant/HCCEG funding from the agency

Please outline the details of your inquiry providing as much information as possible.

Please attach any supporting documentation here.

Please confirm that you are not a robot.

WEG Inquiry Form

WEG/HCCEG