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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. 
  2. Type in a number or keyword in the "Search by Name, Number, or Keyword" box and click the Search button. When searching for a document by the exact title (form name), place the title within quotation marks. 
  3. You can click on the column headers to sort the search results.


Download Number
 		Name Effective Date
CCA-1211A Request for Search of Background Checks 05/01/2022
CCA-1210B-S Acuerdo de Registro del Proveedor de Cuidado De Niños 04/01/2016
CCA-1210B Child Care Provider Registration Agreement 04/01/2016
CCA-1207A-S Aviso Sobre Derechos de Monitorización - Verificación de Divulgación 06/01/2022
CCA-1207A Notice of Monitoring Rights - Disclosure Verification 06/01/2022
CCA-1200A-S Encuesta sobre mí 11/01/2022
CCA-1200A About Me Questionnaire 11/01/2022
CCA-1199A-S Guía de Preparación en Caso de Emergencias y Planificación de Respuesta 04/01/2022
CCA-1199A Emergency Preparedness & Response Planning 04/01/2022
CCA-1198A-S Acuse de Recibo y Entendimiento 07/01/2023

Download Number Name Effective Date
CCA-1163A-S Afidávit de Exención de Vacunación - Para Miembros del Hogar de 13 años de edad y Menores 05/01/2023
CCA-1163A Affidavit of Immunization Exemption - For Household Members Age 13 and Younger 05/01/2023
CCA-1141A-S Inscripción con Depósito Directo para Proveedores o Parientes Autorizados Por el DES 05/01/2018
CCA-1141A Direct Deposit Enrollment - DES Certified Homes/Relative Providers 05/01/2018
CCA-1140A-S Inscripción de Depósito Directo para Centros y Hogares Comunitarios 09/01/2022
CCA-1140A Direct Deposit Enrollment - Centers and Group Homes 09/01/2022
CCA-1114A Contractor Eligibility Verification 04/01/2017
CCA-1021A-S Informe de Copagos Atrasados 10/01/2022
CCA-1021A Unpaid Co-payment Worksheet 10/01/2022
CCA-0231A Child Care Assistance Unwed Minor Parent Deeming Worksheet 09/01/2023

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