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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-1284A-S Encontrar Cuidado Infantil en el que Pueda Confiar 04/01/2021
CCA-1291A Empower Program 08/01/2021
CCA-1199A Emergency Preparedness & Response Planning 04/01/2022
CCA-1197A Emergency Disaster Plan (Spanish) 03/01/2016
CCA-1197A Emergency Disaster Plan 02/01/2016
DDD-2101A Electronic Visit Verification (EVV) Paper Timesheet Attestation 09/01/2021
CCA-1212A Direct Service Position (Certification Form) 07/01/2021
CCA-1228A Direct Service Position (Certification Form) 12/01/2016
CCA-1141A Direct Deposit Enrollment - DES Certified Homes/Relative Providers 05/01/2018
CCA-1140A Direct Deposit Enrollment - Centers and Group Homes 09/01/2022

Download Number Name Effective Date
CCA-0206A-S Cuestionario para la Entrevista de Certificación Inicial 07/01/2019
CCA-1114A Contractor Eligibility Verification 04/01/2017
CCA-1210B Child Care Provider Registration Agreement 04/01/2016
CC-214 Child Care Provider Rate Agreement 11/01/2022
CCA-1261A Certified Family Child Care Provider Application 07/01/2019
CCA-0201A Certification Statement for Providing Child Care Services 12/01/2020
CCA-0039A-S Certificación Médica 12/01/2022
CCA-1260A Back Up Provider Application 07/01/2019
CCA-1207A-S Aviso Sobre Derechos de Monitorización - Verificación de Divulgación 06/01/2022
CCA-1175A-S Autorización Para Operar un Servicio de Cuidado de Niños 04/01/2023

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