Child Care

Program Forms & Documents

The following items are resources for each of our programs and services. For parents and child care providers who participate in our programs, please consult with a Program Specialist about which forms are required of you. If you would like to have a document or form mailed to you, or if you have any questions about these items, please contact your local CHS office.

Child Care Payment Program (CCPP) and Family Child Care Home Education Network (FCCHEN) – For Providers

CCPP Written Information to Providers
CCPP Written Information to Providers - Acknowledgment of Receipt

Child Care Resource and Referral Program (R&R)

Appeal Policy
Complaint Policy
Child Care Referral Policy
Choosing Child Care Brochure
Resource & Referral Provider Update Form
Health & Safety Reimbursement Application
Resource & Referral Brochure

Family Education Program (FEP)

Family Education Program Material Request Form

Helpful Forms

Address Declaration
Attendance Sheet
Attendance Sheet - FCCHEN Program
Declaration of Exemption from TrustLine Registration and Health & Safety Self-Certification
Direct Deposit Form
Health & Safety Self-Certification CCP4 Form
Lost-Stolen Check Affidavit
Release and Hold Harmless
Trustline Application
W-9 Request for Taxpayer Identification
Informational Letter to Active Families and Providers

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