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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- Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down.
- Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks.
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| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
|
CCA-0223A | Non-Certified Relative Provider (NCRP) Requirements (English/Spanish) | 09/01/2022 |
|
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 |
|
CCA-1175A | Landlord Permission to Provide Family Child Care Service (English) | 04/01/2023 |
|
CCA-1303A | Instructions for Central Registry Submission (English/Spanish) | 08/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
|
CCA-1262A | Home Inspection Checklist | 05/01/2019 |
|
CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
|
CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
|
CCA-0041A | Fair Hearing Request | 11/01/2021 |
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CCA-1197A | Emergency Preparedness and Response Plan for Certified Family Child Care Providers | 07/01/2023 |
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CCA-1199A-S | Emergency Preparedness & Response Planning (Spanish) | 04/01/2022 |
|
CCA-1199A | Emergency Preparedness & Response Planning (English) | 04/01/2022 |
|
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation (English) | 09/01/2021 |