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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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  1. Click on the tab that corresponds with the type of document type you are looking for, or click on the "All Documents" tab to search through all available documents. You can refine your search by selecting a category from the Filter by Category drop-down. 
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Download Number
 		Name Effective Date
CCA-1161A Self-Sufficiency Statement 09/01/2018
CCA-1140A-S Inscripción de Depósito Directo para Centros y Hogares Comunitarios 09/01/2022
CCA-1116A Child Care Assistance Priority Waiting List Income Table 09/01/2019
CCA-1105A-S Encuesta de reclamante fiscal 06/01/2023
CCA-1105A Tax Claimant Questionnaire 06/01/2023
CCA-1061A-S Un Mensaje para mi Especialista en Cuidado de Niños 11/01/2017
CCA-1061A A Message for My Child Care Specialist 11/01/2017
CCA-1021A-S Informe de Copagos Atrasados 10/01/2022
CCA-1021A Unpaid Co-payment Worksheet 10/01/2022
CCA-1015A-S Solicitud de Retiro o Terminación 07/01/2018

Download Number Name Effective Date
CCA-0024A Employment and Wage Verification Statement 11/01/2021
CCA-0001A-S Solicitud de Asistencia para Cuidado Infantil 09/01/2023
CCA-0001A Application for Child Care Assistance 09/01/2023
CC-228-S Registro Presupuestario de empleo propio 10/01/2018
CC-228 Self-Employment Budget Record 10/01/2018
CC-214-S Acuerdo de Tarifas del Proveedor de Cuidado de Niños 11/01/2022
CC-214-A-S Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños 11/01/2022
CC-214-A Relative Child Care Provider Rate Agreement 11/01/2022
CC-214 Child Care Provider Rate Agreement 11/01/2022
CC-016-PD-S Lista Prioritaria de Espera para Asistencia con el Cuidado de Niños: Lo que Necesita Saber 09/01/2016

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