LACO Monitor Registry
Monitor’s Name
First Name
Last Name
Business name
Phone Number
Email
example@example.com
What is your website?
What services do you provide? (Check all that apply)
Intake
On-site monitoring
Offsite monitoring
Exchanges
Court Appearances
Report writing
Other
Include rates for each service
Intake
Monitoring hourly
Exchange
Court Appearances
Reports
Other
Ages served (check all that apply)
Infant-3 years
4-12 years
12-18 years
All of the above
What areas do you serve ?
Upload Proof of training
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload proof of Trustline Registry
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload proof of completion of Mandated Reporter training
Browse Files
Drag and drop files here
Choose a file
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of
$89.00 per year
*
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( X )
USD
Description
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Pay and Submit
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