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You can search for reports, forms, policies and pamphlet and posters with information about specific programs and services. 

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Download Number Name Effective Date
CCA-1176A-S Declaración Jurada del Padre o Tutor por Cuidado de Niños no Remunerado 07/01/2023
CCA-0208A Provider/Parent/Guardian's Agreement for Child Care Charges 07/01/2023
CCA-1198A Acknowledgement of Receipt and Understanding 07/01/2023
CCA-0208A-S Acuerdo del Proveedor/Padre/Madre/Guardian - Acerca de los Costos de Cuidado de Niños 07/01/2023
CCA-1197A Emergency Preparedness and Response Plan for Certified Family Child Care Providers 07/01/2023
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger 05/01/2023
CCA-1163A-S Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores 05/01/2023
CCA-1164A Affidavit of Immunization Exemption - For Children in Care 05/01/2023
CCA-1164A-S Afidávit de Exención de Vacunación - Para Menores Bajo Cuidado 05/01/2023
CCA-1170A Withdrawal or Termination Request for Child Care Providers 05/01/2023

Download Number Name Effective Date
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger 05/01/2023
CCA-1163A-S Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores 05/01/2023
CCA-1164A Affidavit of Immunization Exemption - For Children in Care 05/01/2023
CCA-1164A-S Afidávit de Exención de Vacunación - Para Menores Bajo Cuidado 05/01/2023
CCA-1170A Withdrawal or Termination Request for Child Care Providers 05/01/2023
CCA-1170AS Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños 05/01/2023
CCA-1175A Landlord Permission to Provide Family Child Care Service 05/01/2023
CCA-0221A Family Child Care Provider Statement of Services 05/01/2023
CCA-0221A-S Declaración de Servicios del Proveedor de Cuidado en Casa de Familia 05/01/2023
CCA-1227A Maximum Reimbursement Rates for Child Care 04/01/2023

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