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Division of Child Care Services


OCFS LogoNEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES
FAMILY AND GROUP FAMILY DAY CARE PROVIDER REQUEST TO REMOVE STREET ADDRESS AND MAP FROM THE OFFICE OF CHILDREN AND FAMILY SERVICES WEBSITE




DO NOT COMPLETE THIS FORM IF YOU WISH TO HAVE YOUR ADDRESS REMAIN ON THE WEBSITE
ALL FIELDS MUST BE COMPLETED IN ORDER TO REMOVE YOUR STREET ADDRESS FROM THE WEBSITE
Your Information:
Provider's Name:
License/Registration Number:
Contact Phone Number:
Address Information:
House Number:
Street:
Apartment or Floor:
County/Borough:
City:
Zip Code:
Select the button next to the Regional Office Your Program is located in:
Albany Regional Office Buffalo Regional Office
Long Island Regional Office Syracuse Regional Office
Spring Valley Regional Office Rochester Regional Office
New York City  
I understand that by submitting this form I am requesting that my street address and map be REMOVED from the Office of Children and Family Services Website.
Name of Person Making This Request:

Validation Number: You must enter the correct matching number below.

Please click the button only once to prevent duplicate submissions.

Providers may choose to submit this form by US Mail as well.

Mail to:
The Division of Child Care Services
South Building, Room 30952
Washington Street
Rensselaer, NY 12144-2796

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