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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
HPY-330 Article 52: Certification and Supervision of Family Child Care Home Providers (English/Spanish) – EFF 12/01/2018
CCA-1211B Attachment to Request for Search of Background Checks (CCA-1211A) Disqualifying Acts 04/01/2021
CCA-1175A Autorización Para Operar un Servicio de Cuidado de Niños 12/01/2015
CCA-1207A-S Aviso Sobre Derechos de Monitorización - Verificación de Divulgación 06/01/2022
CCA-1260A Back Up Provider Application 07/01/2019
CCA-1302A Background Check for Child Care Providers - FAQs 12/01/2022
CCA-1301A Background Check Requirements for Child Care Staff (Eng/Spa) 12/01/2022
CCA-0039A-S Certificación Médica 12/01/2022
CCA-0201A Certification Statement for Providing Child Care Services 12/01/2020
CCA-1261A Certified Family Child Care Provider Application 07/01/2019

Download Number Name Effective Date
CCA-0201A Certification Statement for Providing Child Care Services 12/01/2020
CCA-1261A Certified Family Child Care Provider Application 07/01/2019
CC-214 Child Care Provider Rate Agreement 11/01/2022
CCA-1210B Child Care Provider Registration Agreement 04/01/2016
CCA-1114A Contractor Eligibility Verification 04/01/2017
CCA-0206A-S Cuestionario para la Entrevista de Certificación Inicial 07/01/2019
CCA-0201A-S Declaración de Certificación para Proveer Servicios de Cuidado de Niños 12/01/2020
CC-221-FFS Declaración de Servicios del Proveedor de Cuidado en Casa de Familia 09/01/2011
CCA-1176AS Declaración Jurada del Padre o Tutor por Cuidado de Niños no Remunerado 02/01/2013
CCA-1269A-S Declaración Jurada del Proveedor de Cuidado de Niños en el Hogar (FCC) Registrado 08/01/2020

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