Daycare returned check notice -NSF and late fee's

Regarding Your Child Care Account Parent/Guardian___________________________________

Date of Notice________________________________________________________________

Child’s Name:________________________________________________________________

Address_____________________________________________________________________

This is to inform you that: [ ] You have an outstanding balance due on your child care account.

[ ] Past Due Child Care Fee Amount due $_______ for services on_____________
[ ] Late Payment Fee Amount due $_______ for fee due _____________________
[ ] Late Pick-up Fee Amount due $_______ for services on___________________
[ ] Incorrect weekly fee paid Amount due $_______ for services on_____________
[ ] NSF check Amount due $_______ for services on_______________________
[ ] Other Amount due $________ Reason________________________________
 ________________________________________________________________________________________
 
[ ] Parent/Guardian's check for Child Care services was returned for non-sufficient funds Fees are due upon receipt of this notice totaling $_________

A breakdown of this amount is as follows_______________________________________________

[ ] Future Child Care services are required to be paid in cash, or Money Order only.
[ ] Child Care Services are immediately suspended until this account is brought current.
[ ] Childcare services are being terminated immediately for lack of payment.
[ ] This account is being turned over for collection for the amount of $___________________________


Thank you for your prompt attention to this matter. _________________________________________ (Provider)