Become a Provider

Join Our Registry!

Who is eligible to join the registry? Providers who wish to be permanently listed on the registry must complete RCAW’s Respite Care Certification Program (RCCP).  We encourage providers to have a recent background check available to show primary caregivers.  

Disclaimer: Please note that the registry is provided for informational purposes only and is not all-inclusive. Providers in the database does not represent an endorsement, and providers not listed in the database does not constitute a lack of support. RCAW assumes no responsibility for any claims arising from the use of the respite care registry. We do not check the background, references, or any other aspect of the companies and individuals listed here. You must take responsibility for reviewing the experience, background checks, and qualifications of any respite care provider or agency that you hire.

Join Our Registry (For Respite Care Workers & Providers)

Getting Started

Please type your password in the first field and confirm it in the second field.
Check any RCAW trainings you have completed *
I am registering as an *
User Picture
Maximum upload size: 52.43MB

Contact Information

I understand that respite care can be a critical and time-sensitive need, and will, to the best of my ability, respond to emails and phone calls within 48 hours of receiving them
I understand that my profile will be made ‘inactive’ if I do not respond to emails or calls in a timely fashion

Where Services Provided and Type

County(ies) Available to Work In *
Age(s) Willing to Work With *
Type of Respite *

Experience, Specialties, Training Completed

Background Check if Individual

Have you had a Background Check performed within the past three (3) years?
Upload copy of background check
Maximum upload size: 52.43MB
You may upload a copy of a copy of your Wisconsin Criminal and Caregiver Background check if you’d like. It is no longer a requirement to be listed on our registry.

Agency Licenses/Certifications

Upload License and/or Certification
Maximum upload size: 52.43MB
Upload copies of any licenses/certifications you have to provide in-home services/supports
Resume
Maximum upload size: 52.43MB
I have read and understand the terms and conditions *