(817) 877-3101 Dallas/Fort Worth, TX

In-Home Daycare Request Form

My School Insurance

In-Home Childcare Insurance Quote Request

stan@myschoolinsurance.com -or- Text license and form to: 702-807-8543

Do you provide overnight care?

Do you have a swimming pool?

Do you have any Dogs?

Do you have a trampoline?

Is the play yard fully fenced?

Do you transport children?

Do you have someone who can care for children if you have an emergency?

Have you ever had a childcare license revoked?

Have you ever had a claim or lawsuit filed against you or your childcare operation?

Questions about this form? Call My School Insurance at 702-807-8543 and ask for Stan. We are here to help.