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Child Care Subsidy Policy October 1, 2024 11 2.3.13. Local Resources: Notification of other services offered by DoHS, such as Food Stamps, CHIP, TANF, children with special health care needs, and other community resources. Parents shall be informed of the availability of the Community Resource List maintained by the CCR&R agency and given copies upon request. An alternative would be a referral to the web site if the resource list is maintained there and parents have access. 2.4. The Application Process 2.4.1. Verifications Requested During Intake Interview. During the intake interview, parents will be asked to submit several verifications. The verifications include the following proofs: 2.4.1.1 Identity. 2.4.1.2 West Virginia residency. 2.4.1.3 All income, including child support, if received. 2.4.1.4 Employment, school, training, WV Works participation for each parent in the home and/or other need for child care services. 2.4.2. CCR&R Supplied Forms During the application process, a number of additional forms are completed or given to parents for completion and verifications are requested. Forms given to parents shall include the following: 2.4.2.1. Child’s Medical Record (ECE-CC-3): The Case manager shall give the parent an appropriate number of Child’s Medical Record (ECE-CC-3) to be completed and given to the provider for any child under the age of 6 years. The Case manager should explain that: A. The medical examination and the immunization report/plan must be completed within thirty (30) days of placement and updated every two years until the child is six years of age. If immunizations are not current, the parent must give the provider a schedule for completion. B. Parents shall be referred to the Health Check clinics (formerly known as EPSDT) and local Health Departments to obtain physical examinations and immunizations but may choose to utilize private physicians. The Health Check form or child health assessment form from a Head Start or child care center, which contains immunization information, can be substituted for the ECE-CC-3C, if the form contains the same immunization requirements as those on the ECE-CC-3C and shows the date of completion. However, a note from the physician without a standard medical form is not acceptable.