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Application for Child Care Services ! Completion of this application does not guarantee you will receive child care assistance. ! ##!$#%&%'%#%()!*+%($+%, !-./(!'$!-$(!01+!)1.!(1!2., #%0)!,34!+$*$%$5!,

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What is completion of this application?

Completion of this application refers to filling out all required sections and providing necessary information.

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Individuals or entities specified in the application instructions are required to file completion of this application.

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What is the purpose of completion of this application?

The purpose of completion of this application is to collect essential information needed for processing and decision-making purposes.

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