By submitting this form, I attest my DHS certified child care facility has been open since January 31, 2021 and is currently open and serving children. I attest the use of these funds will assist in maintaining child care operations and support costs or loss of revenue due to low enrollments, the purchase of cleaning supplies and/or services and personal protective equipment, staff supports, and any other necessary cost incurred to sustain business operations during the COVID-19 pandemic. I understand that I may be penalized by fine and/or referred to the Office of State Inspector General for criminal prosecution if I am suspected of engaging in fraud. The ELRC shall not be liable or bound in any manner by express or implied promises, statements, representations, or information. I understand information on this page may be relied upon to make payments from Federal funds, and any false information, statements, or documents or the concealment of material facts may be prosecuted under applicable Federal and State laws, including 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities.
All eligible providers may claim CRRSA funds by submitting this Attestation Form but providers who have not yet completed the Round 3/CARES Act reporting, funds will not be distributed until reporting is completed, or issues reconciled. If you need support completing this process, contact your ELRC.