Documents Center
Reports, Forms, Pamphlets and Policies
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-1234A-S | Proveedor Suplente de Cuidado de Niños en el Hogar Acuerdo de Suplente, Disciplina y Transporte | 04/01/2021 |
|
CCA-1328A | Potential Provider Overpayment Referral (English) | 08/01/2024 |
|
CCA-1197A-S | Plan de Preparación y Respuesta en Caso de una Emergencia para los Proveedores de Hogar Certificado para el Cuidado de Niños | 07/01/2023 |
|
CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
|
CCA-0036A | Permission to Give Medication | 12/01/2022 |
|
CCA-0036A-S | Permiso para Administrar Medicamentos | 12/01/2022 |
|
CCA-1176A-S | Parent/Guardian Affidavit of Non-Compensated Child Care (Spanish) | 07/01/2023 |
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CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
|
CCA-1216A | Notice to All Families Enrolled at DES Child Care Facility/Aviso A Todas Las Familias Inscritas En Una Instalación De Cuidado De Niños Del DES | 02/01/2023 |
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-1176A | Parent/Guardian Affidavit of Non-Compensated Child Care (English) | 07/01/2023 |
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
|
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
|
CCA-0039A-S | Medical Statement (Spanish) | 12/01/2022 |
|
CCA-0039A | Medical Statement (English) | 12/01/2022 |
|
CCA-1227A-S | Maximum Reimbursement Rates for Child Care (Spanish) | 08/01/2024 |
|
CCA-1227A | Maximum Reimbursement Rates for Child Care (English) | 08/01/2024 |
|
CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
|
CCA-1175A-S | Landlord Permission to Provide Family Child Care Service (Spanish) | 04/01/2023 |
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CCA-1175A | Landlord Permission to Provide Family Child Care Service (English) | 04/01/2023 |