Ask the childcare provider to use this template on the provider’s letterhead and replace the bracketed information. <Insert today's date> <Insert parent/guardian’s name and address> Re: <Insert child's name> To Whom It May Concern: According to our records, <name of care provider> provided childcare service(s) for <child's name> on the following date(s) <insert the date(s) you provided service(s)> in <insert tax year on the notice>. Our records show the child lived at <street address, city, state, ZIP Code (if the child moved during the year show all addresses)> during this time. Our records also show the child's parent or guardian during this time was <insert parent's or guardian name(s)>. Their address of record during this time was listed as <insert parent's or guardian address(es)>. Sincerely, <Insert signature of childcare provider or official> <Insert title of childcare provider> <Insert phone number of childcare provider>
