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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-1288A-S | Ruta para la contratación de Centros y Hogares Comunitarios con licencia y mantener el cumplimiento del contrato DES | 07/01/2021 |
|
CCA-1291A | Empower Program | 08/01/2021 |
|
CCA-1293A | Child Care at Residential Homeless/Domestic Violence Shelter | 08/01/2021 |
|
CCA-1294A | Provider Registration Agreement Tutorial | 09/01/2021 |
|
CCA-1294A-S | Manual de Acuerdo de Registro de Proveedores | 09/01/2021 |
|
CCA-1-01-01 | Suspension and Expulsion Prevention | 10/01/2021 |
|
CCA-1235A | CCA Change Report | 11/01/2021 |
|
CCA-1235A-S | CCA Informe de Cambios | 11/01/2021 |
|
CCA-1186A | Authority to Release Information | 11/01/2021 |
|
CCA-0024A-S | Employment and Wage Verification Statement (Spanish) | 11/01/2021 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
CCA-0231A-2022 | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 07/01/2022 |
|
CCA-1140A-S | Inscripción de Depósito Directo para Centros y Hogares Comunitarios | 09/01/2022 |
|
CCA-1224A | Fast Pass DCS Referral | 10/01/2022 |
|
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
|
CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
|
CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
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