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Application and Redetermination Forms



The following forms are more used for applications for child care for both, a licensed provider and a license exempt provider. These forms belong to Action for Children and DHS, and they are all in “ .pdf ” format.



 Redetermination Form

 Wage Verification

 Application Checklist for Parents

 Child Care Provider Change

 Provider Address Change

 Parents Address Change

 Parents Name Change

 Request to Add Child Form

 W9 Form 


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