Documents Center
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-1163A | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (English) | 05/01/2023 |
|
CCA-1163A-S | Affidavit of Immunization Exemption - For Household Members Age 13 and Younger (Spanish) | 05/01/2023 |
|
CCA-1164A | Affidavit of Immunization Exemption - For Children in Care (English) | 05/01/2023 |
|
CCA-1164A-S | Affidavit of Immunization Exemption - For Children in Care (Spanish) | 05/01/2023 |
|
CCA-1170A | Withdrawal or Termination Request for Child Care Providers | 05/01/2023 |
|
CCA-1170AS | Petición para el Retiro o Terminación de Solicitud - Para Proveedores de Cuidado de Niños | 05/01/2023 |
|
CCA-0221A | Family Child Care Provider Statement of Services | 05/01/2023 |
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CCA-1175A-S | Landlord Permission to Provide Family Child Care Service (Spanish) | 04/01/2023 |
|
CCA-1175A | Landlord Permission to Provide Family Child Care Service (English) | 04/01/2023 |
|
CCA-1312A | Provider/Parent/Guardian's Agreement for Non-DES Child Care Charges | 03/01/2023 |
| Download | Number | Name | Effective Date |
|---|---|---|---|
|
CCA-0005A | Log of Accidents, Injuries or Illnesses (English/Spanish) | 12/01/2022 |
|
CCA-0036A | Permission to Give Medication | 12/01/2022 |
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CC-214-A-S | Acuerdo de Tarifa para Parientes Proveedores de Cuidado de Niños | 11/01/2022 |
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CCA-1200A-S | About Me Questionnaire (Spanish) | 11/01/2022 |
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CCA-1200A | About Me Questionnaire (English) | 11/01/2022 |
|
CC-214 | Child Care Provider Rate Agreement | 11/01/2022 |
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CC-214-S | Acuerdo de Tarifas del Proveedor de Cuidado de Niños | 11/01/2022 |
|
CC-214-A | Relative Child Care Provider Rate Agreement | 11/01/2022 |
|
CCA-1021A | Unpaid Co-payment Worksheet | 10/01/2022 |
|
CCA-1021A-S | Informe de Copagos Atrasados | 10/01/2022 |