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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 |
|---|---|---|---|
|
CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
|
CCA-0048A | Non-Certified Relative Provider Billing Report | 10/01/2022 |
|
CCA-0048A-S | Informe de Facturación de Proveedores Parientes no Certificados | 10/01/2022 |
|
CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |
|
CCA-0001A | Application for Child Care Assistance | 10/01/2022 |
|
CCA-0001A-S | Solicitud de Asistencia para Cuidado Infantil | 10/01/2022 |
|
CCA-1224A | Fast Pass DCS Referral | 10/01/2022 |
|
CCA-0223A | Non-Certified Relative Provider (NCRP) Requirements (English/Spanish) | 09/01/2022 |
|
CCA-1140A-S | Inscripción de Depósito Directo para Centros y Hogares Comunitarios | 09/01/2022 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-1140A-S | Inscripción de Depósito Directo para Centros y Hogares Comunitarios | 09/01/2022 |
|
CCA-0231A-2022 | Child Care Assistance Unwed Minor Parent Deeming Worksheet | 07/01/2022 |
|
CCA-1271A | Service Consent Form | 06/01/2022 |
|
CCA-1207A | Notice of Monitoring Rights - Disclosure Verification | 06/01/2022 |
|
CCA-1271A-S | Formulario de Consentimiento de Servicio | 06/01/2022 |
|
CCA-1207A-S | Aviso Sobre Derechos de Monitorización - Verificación de Divulgación | 06/01/2022 |
|
CCA-1211A-S | Solicitud para Búsqueda de Verificación de Antecedentes | 05/01/2022 |
|
CCA-1186A | Authority to Release Information | 11/01/2021 |
|
CCA-0227A | Self-Employment Log | 11/01/2021 |
|
CCA-0227A-S | Registro de Trabajo Realizado por cuenta propia | 11/01/2021 |
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