Coverage
State of California Coverage
- Review the coverage outlined in the application, then choose a plan and optional coverages
- Calculate your total plan cost. Transfer these figures to the application (pages 3 and 4)
- Answer all questions and sign the application (pages 3 and 4)
- Read the Mandatory Government Notice (page 5)
- Keep pages 1, 2, and 5 for your records
- Mail pages 3 and 4 with a copy of your childcare license or registration and premium payment to:
Day Care Insurance Services
6345 Balboa Blvd Suite 251
Encino, CA 91316
FAX: (818) 501-7612