Child Care Assistance Program forms
Do you need help paying for child care? DHS-3551 Brochure providing basic child care information and explaining the basic program requirements of the Child Care Assistance Programs.
Child Care Responsibilities and Rights DHS-3990 Child Care Assistance Programs (CCAP) information sheet explaining client's rights and responsibilities.
Notice of Privacy Practices DHS-3979 This notice describes how private information about you may be used and disclosed and how you can get this information.
Child Care Assistance Redetermination packet DHS-5274 **Please note: the Redetermination packet is for families that already have an open Child Care Assistance case. It should not be used to apply for Child Care Assistance.
Change Report Form DHS-4794 Form used by Child Care Assistance Program clients to report income changes and other changes such as address, household members, jobs, etc.
Home Safety Checklist Checklist that may be used by parents using an unlicensed child care provider to ensure the provider's home is a safe environment for children.
Child Care Assistance copays DHS bulletin 09-68-05
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