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CCDF POLICY AND PROCEDURE MANUAL Effective August 12, 2018 revised 02/11/2021. 61

SECTION 7 CCDF Forms & Resources 7.1 CCDF Forms

CCDF Linked Forms 1. Parents/Applicants Rights and Obligations 2. Child Care and Development Fund (CCDF)/On My Way Pre-Application 3.

Child Care Assistance Residency Statement 4. Statement of Self-Employment Profit and Loss 5. Wage Detail 6. CCDF Voucher Program Tipped Employee Worksheet 7. Secondary School Enrollment Verification 8. Name Attestation 9. New Hire Verification 10. Request for Cash Earnings 11. Job Search Documentation 12. CCDF/OMW Report of Change 13. Provider Information Form

14. Workforce Certificate/Apprentice Program Forms 15. CCDF Child Care Voucher Program Appeal 16. On My Way Pre-K Parent Agreement Form English 17. On My Way Pre-K Parent Agreement Form Spanish

7.2 Resources 1. Early Ed Connect 2. Child Care Resource and Referral 3. Policy Consultant Map 4. Eligibility Office Map

5. CCDF Sliding Fee Schedule FPL Chart with Co-pays 6. Income Limits to Get on CCDF Cheat Sheet 7. Income Limits to Stay on CCDF Cheat Sheet