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Request OEL Provider ID
Request OEL Provider ID
Please provide the information requested below so we may assist you!
First Name
*
Last Name
*
Email
*
Confirm Email
*
User Name
Name of Center/School
*
Physical Address of Center/School
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City
*
State
*
Zip Code
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Select Subject
Request a Provider ID for a Brand New VPK provider
Request a Provider ID for a VPK provider with a valid transfer or change of ownership
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Provider Phone #
*
County
*
Select County
Alachua
Baker
Bay
Bradford
Brevard
Broward
Calhoun
Charlotte
Citrus
Clay
Collier
Columbia
Dade
Desoto
Dixie
Duval
Escambia
Flagler
Franklin
Gadsden
Gilchrist
Glades
Gulf
Hamilton
Hardee
Hendry
Hernando
Highlands
Hillsborough
Holmes
Indian River
Jackson
Jefferson
Lafayette
Lake
Lee
Leon
Levy
Liberty
Madison
Manatee
Marion
Martin
Monroe
Nassau
Okaloosa
Okeechobee
Orange
Osceola
Palm Beach
Pasco
Pinellas
Polk
Putnam
St. Johns
St. Lucie
Santa Rosa
Sarasota
Seminole
Sumter
Suwannee
Taylor
Union
Volusia
Wakulla
Walton
Washington
Please provide an explanation regarding the request for a provider ID
*
*
By making this requests I am confirming that the ELC has thoroughly examined the case for a new OEL provider ID and has retained appropriate documentation. I am also confirming that I have reviewed the technical assistance for ELCs regarding requesting an OEL Provider ID.
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*
) Indicates a required field