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General Information about the form .............................................................................................................................................. 201 Appendix K. Child Care Waitlist Screening Form Instruction ..................................................................................... 203 Number .......................................................................................................................................................................................... 203 Purpose of Form ............................................................................................................................................................................. 203 USE OF FORM ................................................................................................................................................................................. 203 COPIES/DISPOSITION ...................................................................................................................................................................... 203 Appendix L. Child Care Waitlist Update Form Instructions ....................................................................................... 203 NUMBER ......................................................................................................................................................................................... 203 PURPOSE OF FORM ......................................................................................................................................................................... 203 USE OF FORM ................................................................................................................................................................................. 203 COPIES/DISPOSITION ...................................................................................................................................................................... 203 INSTRUCTIONS FOR PREPARING THE FORM ................................................................................................................................... 203 Appendix M. Child Care Subsidy Program Notice of Action Form Instructions ........................................................... 204 NUMBER ......................................................................................................................................................................................... 204 PURPOSE OF FORM ......................................................................................................................................................................... 204 USE OF FORM ................................................................................................................................................................................. 204 COPIES ............................................................................................................................................................................................ 204 INSTRUCTIONS FOR PREPARING THE FORM ................................................................................................................................... 204 Appendix N. Child Care Notice of Redetermination Form Instructions ...................................................................... 204 FORM NUMBER .............................................................................................................................................................................. 204 PURPOSE OF FORM ......................................................................................................................................................................... 205 USE OF FORM ................................................................................................................................................................................. 205 COPIES ............................................................................................................................................................................................ 205 INSTRUCTIONS FOR PREPARING THE FORM ................................................................................................................................... 205 Appendix O. Child Care Subsidy Program Communication Form Instructions ............................................................ 205 NUMBER ......................................................................................................................................................................................... 205 PURPOSE OF FORM ......................................................................................................................................................................... 205 USE OF FORM ................................................................................................................................................................................. 205 COPIES ............................................................................................................................................................................................ 205 INSTRUCTIONS FOR PREPARING THE FORM ................................................................................................................................... 205 Appendix P. Child Care Verification Checklist Instructions ........................................................................................ 206 NUMBER ......................................................................................................................................................................................... 206 PURPOSE OF FORM ......................................................................................................................................................................... 206 USE OF FORM ................................................................................................................................................................................. 206 COPIES ............................................................................................................................................................................................ 206 INSTRUCTIONS FOR PREPARING THE FORM ................................................................................................................................... 206 Appendix Q. Childhood Immunization Certification Instructions ............................................................................... 206 NUMBER ......................................................................................................................................................................................... 206 PURPOSE OF FORM ......................................................................................................................................................................... 207 USE OF FORM ................................................................................................................................................................................. 207 COPIES ............................................................................................................................................................................................ 207 INSTRUCTIONS FOR PREPARING THE FORM ................................................................................................................................... 207 Appendix R. Child Care Purchase of Service Order Instructions ................................................................................. 207 NUMBER ......................................................................................................................................................................................... 207 PURPOSE OF FORM ......................................................................................................................................................................... 207 USE OF FORM ................................................................................................................................................................................. 207 COPIES ............................................................................................................................................................................................ 207 DISPOSITION ................................................................................................................................................................................... 207 INSTRUCTIONS FOR PREPARING THE FORM ................................................................................................................................... 208 SIGNATURE OF FISCAL WORKER OR DIRECTOR DESIGNEE ............................................................................................................. 208 Appendix S. Child Care Repayment Agreement Form Instructions ............................................................................ 208 FORM NUMBER .............................................................................................................................................................................. 208 PURPOSE OF FORM ......................................................................................................................................................................... 208 USE OF FORM ................................................................................................................................................................................. 208 COPIES ............................................................................................................................................................................................ 208 Appendix T. Child Care Case Record Transfer Form Instructions ............................................................................... 209 FORM NUMBER .............................................................................................................................................................................. 209 PURPOSE OF FORM ......................................................................................................................................................................... 209 USE OF FORM ................................................................................................................................................................................. 209 COPIES ............................................................................................................................................................................................ 209 INSTRUCTIONS FOR PREPARING THE FORM ................................................................................................................................... 209