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4360-3 CERTIFIED/ACCREDITED PROVIDER CASE FILE Each United States (US) Department of Defense or US Coast Guard Certified, Tribally Approved or Tribally Certified, Nationally Accredited or Nationally Certified Day Camp or similar facility or program’s case file is to contain the following information:

1. Completed Certified/Accredited Provider Child Care Assistance Application CC84;

2. Completed Child Care Provider Rates and ResponsibilitiesCC12;

3. Copy of the provider’s current certificate or other approval granted by the US Department of Defense, the US Coast Guard, or a Tribal Organization;

4. Copy of the standards used to Certify, Accredit, or Approve the provider supporting those standards meet or exceed the department’s standards;

5. Copy of the annual inspection completed by thecertifying, accrediting, or approving entity;

6. Copy of a completed State of Alaska Substitute W-9 form; 7. Copy of all reports issued regarding compliance monitoring;

8. Plan of Correction received, if applicable; and

9. Any written statements or reports of change received bythe Designee.

4360-4 APPROVED RELATIVE PROVIDER CASE FILE Each Approved Relative provider's case file may contain information not listed below based on when the provider initially applied for program participation. The case file is to contain at least the following information:

1. Completed Approved Relative Child Care Provider Application CC42 documenting their relationship to the child(ren) in care;