CHILDCARE FUNDING PROGRAMMES Administered via the Programmes Implementation Platform (PIP), in conjunction with Programmes Implementation Platform (PIP) Primary Authorised User Identification Declaration Form In order to ensure a secure online process for individuals/organisations to legally sign-up to participation in the Department of Children &Youth Affairs Childcare Funding Programmes via the PIP System, this City/County Childcare Committee (CCC), as an agent of DCYA, has undertaken an identification exercise that verifies the identity of the individual named in this declaration as being the rightful person authorised to agree/sign-up to legal commitments on behalf of the named childcare organisation. Individual’s name: ________________________Position: ________________________ Organisation name: ____________________ DCYA Ref (if many one will suffice):_________________ In verifying the named individual as the PIP Primary Authorised User, the CCC confirms that: Verification This individual: Tick Type where Yes A Is already known to the CCC through numerous interactions and previous participation in the DCYA Childcare Funding Programmes or B Has presented themselves to the CCC and provided sight of photographic identification that evidences they are the above named individual At least one of the above must be selected by CCC AND C The named individual has also been confirmed as the company director by utilising the search function of the CRO website www.cro.ie 1 (This verification check should be completed where CCC deems appropriate, in particular where verification type B has been selected) AND D The named individual has confirmed to the CCC that they have provided PIP with a unique email address which is exclusive to them for the purposes of undertaking their legal and finacial obligations on the PIP System (If verification type A selected above, CCC to confirm by telephone or email where the individual was not required by the CCC to present in their Office) On behalf of the City/County Childcare Committee which is an agent of DCYA, I declare the above to be true and accurate to the best of my knowledge: City/County Childcare Committee: _____________________________ CCC Employee Name(block letters): ____________________________ CCC Employee Signature: ________________________Date:_________________ CCC Stamp: *Completed and Signed Declaration must be scanned and uploaded to the PIP System by the CCC as part of approving the named individual as the PIP Primary Authorised User. 2
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