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C4K Is Going Paperless
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C4K Is Going Paperless
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Care 4 Kids Forms
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Please fill in the name and address of where you would like the forms mailed.
Name
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First
Last
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
What Language would you like your forms
*
English
Spanish
To submit an application or redetermination, please
use the Care 4 Kids Parent Portal"
.
Forms
School Vacation Request Form
Parent-Provider Agreement Form (PPA)
Hearing Request Form
IRS W-9 Form
Release of Information Form
Self-Employment Income Verification
School Vacation PPA (Alternate Care Providers)
Please select the forms you would like mailed
Para enviar una solicitud o una redeterminación, por favor
utilice el Portal de Padre de Care 4 Kids."
.
Spanish Forms
Vacaciones de Escuela
Formulario del Acuerdo Entre Padre y Proveedor
Formulario Para Solicitar Una Audiencia
IRS W-9 Form (solo Inglés)
Liberación de Información
Forma de Trabajo por Cuenta Propia
Formulario del Acuerdo Entre Padre y Proveedor
Please select the forms you would like mailed
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