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| Download | Number | Form Name | Effective Date |
|---|---|---|---|
|
CCA-0201A-S | Declaración de Certificación para Proveer Servicios de Cuidado de Niños | 11/01/2019 |
|
CCA-1116A | Child Care Assistance Priority Waiting List Income Table | 09/01/2019 |
|
CCA-0001A | Application for Child Care Assistance | 08/01/2019 |
|
CCA-0229A (FY20) | Child Care Assistance Gross Monthly Income Eligibility Chart and Fee Schedule (English/Spanish) | 08/01/2019 |
|
CCA-0231A | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 08/01/2019 |
|
CCA-0001A-S | Solicitud de Asistencia para Cuidado de Niños | 08/01/2019 |
|
CCA-1186A | Authority to Release Information | 07/01/2019 |
|
CCA-1227A | Maximum Reimbursement Rates for Child Care | 06/01/2019 |
|
CCA-1264A | Application Completeness Review Checklist | 05/01/2019 |
|
CC-228 | Self-Employment Budget Record | 10/01/2018 |
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