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CCAPFamilies

For Families-Client Application Packet
 

Required Registration Forms

Informational
The documents below are provided for your reference. They do not need to be returned.

Other Forms

    · Change Report Form (DHS-4794) You are required to report any changes that occur in your household to your child care case worker within 10
      days of the change. This includes changes in the number of people living with you, your income, your address, your employment and/or school schedule.

    · Redetermination Form (DHS-5274) Used to determine ongoing eligibility for households that are currently open on the Child Care Assistance
      Program

    · Request for In-Home Care Form (DHS-6475) Form used if wanting child care to be done in the child’s home

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