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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-1269A-S | Declaración Jurada del Proveedor de Cuidado de Niños en el Hogar (FCC) Registrado | 08/01/2020 |
|
CCA-1259A | DES Certified Home-Based Child-Care Provider Pre Application | 07/01/2019 |
|
CCA-1140A | Direct Deposit Enrollment - Centers and Group Homes | 09/01/2022 |
|
CCA-1141A | Direct Deposit Enrollment - DES Certified Homes/Relative Providers | 05/01/2018 |
|
CCA-1212A | Direct Service Position (Certification Form) | 07/01/2021 |
|
CCA-1228A | Direct Service Position (Certification Form) | 12/01/2016 |
|
DDD-2101A | Electronic Visit Verification (EVV) Paper Timesheet Attestation | 09/01/2021 |
|
CCA-1197A | Emergency Disaster Plan | 02/01/2016 |
|
CCA-1197A | Emergency Disaster Plan (Spanish) | 03/01/2016 |
|
CCA-1199A | Emergency Preparedness & Response Planning | 04/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-0041A | Fair Hearing Request | 11/01/2021 |
|
CCA-1234A | Family Child Care Home Backup Provider Backup, Discipline, and Transportation Agreement | 04/01/2021 |
|
CC-221-FF | Family Child Care Provider Statement of Services | 09/01/2011 |
|
CCA-1259A-S | Formulario previo a la Solicitud de Proveedor de Cuidado de Niños Certificado por el DES | 06/01/2019 |
|
CCA-1199A-S | Guía de Preparación en Caso de Emergencias y Planificación de Respuesta | 04/01/2022 |
|
CCA-1262A | Home Inspection Checklist | 05/01/2019 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
|
CCA-1141A-S | Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES | 05/01/2018 |
|
CCA-1140A-S | Inscripción de Depósito Directo para Centros y Hogares Comunitarios | 09/01/2022 |
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