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Important Updates
HCJFS Form
Child Care Caretaker (Parent)
Child Care: Income Guidelines (HCJFS 7969)
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Making Changes in Your Child Care (HCJFS 7970)
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Authorized Representative Designation (HCJFS 4180-A)
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Child Care Special Needs Verification Form (HCJFS 3003)
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Unable to Care for Child (HCJFS 0175)
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Delinquent Co-Payment Instructions (HCJFS 4671)
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Child Care Co-Payment Agreement (HCJFS 0139)
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Child Care Explanation of Verification Requirements (HCJFS 5166-B)
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Child Care Cover Letter (HCJFS 8011)
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Child Care Self-Employment Form (HCJFS 3277)
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