Please select the yes checkbox below to acknowledge you understand and agree to the following:

• My registration as a FDC educator will be cancelled from the date indicated on this form.
• I have contacted all families with at least two weeks’ notice to let them know that I am closing my FDC business.
• As required by regulation 179 of the Education and Care Services National Regulations I will return the documentation of each child that I have educated and cared for as part of my family day care service to the department, including:
  • child assessments or evaluations for educational program delivery
  • incident, injury, trauma and illness records
  • medication records
  • the record of visitor’s to the FDC residence
    
    (For additional information refer to FDC guidance information sheet)
     
• I understand that if I wish to restart my FDC business that I will need to apply for a new registration.
• I am aware that if I was working towards completing a workplan or I was subject to an investigation on the day of my resignation, that this information will form part of any new registration application.
• I will remove any reference to my registration with the department, including advertising and registration conditions and certificate of my FDC business, from my premises, the community and online locations.
• I am responsible for cancelling my Harmony web subscription.
• I (as a small business operator) will retain all required records in accordance with the Australian Taxation Office.
• I understand that if I provide private care, I may be in breach of the Education and Early Childhood Services (Registration and Standards) Act 2011.

By submitting this form, you declare all information to be true and correct on 7 February 2025