Transfer Request

Child Care Transfer Request

PRIM ID

TWIST ID*

Your TWIST ID will be located on any paperwork provided to you by the Tarrant County CCMS office and will be used to identify your records. This number is issued to you by the Texas Workforce Commission.

Last 4 of SSN (Optional)

Alternatively, if you do not have your TWIST ID, you may enter the last four digits of your SSN so we can identify your records.

Name*

First Last

Date of Birth*

Contact Phone*

Contact Email*

Enter Email Confirm Email

When would you like to transfer?

Child(ren) needing to be transferred*

First Name	Last Name	Date of Birth	New Provider's Name	New Provider's License Number

Reason for Transfer*