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STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF WELFARE AND SUPPORTIVE SERVICES RICHARD WHITLEY MS Director STEVE H. FISHER Administrator BRIAN SANDOVAL Governor TANF MEDICAID SNAP Date Case Name Case ID CHILD CARE EXPENSE VERIFICATION FORM The Nevada State Division of Welfare and Supportive Services needs the following information completed and returned to correctly determine eligibility benefit levels or other services for Name of babysitter or child care provider Street...
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