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CONTRA COSTA COUNTY DEPENDENT CARE ASSISTANCE PROGRAM ENROLLMENT FORM FOR PLAN YEAR 2017 INSTRUCTIONS: To participate in the Dependent Care Assistance program (CAP), you must meet all applicable eligibility
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To fill out the Contra Costa County Dependent form, follow these steps:
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Start by obtaining the form from the Contra Costa County website or visit the local office in person.
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Read the form instructions carefully to understand the requirements and gather all the necessary documents.
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Provide your personal information such as your name, address, and contact details.
05
Indicate whether you are the parent or legal guardian of the dependent.
06
Provide the dependent's personal information including their name, date of birth, and relationship to you.
07
Fill out the relevant sections regarding the dependent's financial situation, if applicable.
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Sign and date the form to certify the accuracy of the information provided.
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Attach any supporting documents as required.
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Double-check the form for completeness and accuracy before submitting it.
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Submit the completed form along with any supporting documents to the designated authority either in person or by mail.
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Keep a copy of the submitted form for your records.
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By following these steps, you can successfully fill out the Contra Costa County Dependent form.

Who needs contra costa county dependent?

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Anyone who is a parent or legal guardian of a dependent residing in Contra Costa County needs to fill out the Contra Costa County Dependent form. This form is required to establish the dependency status of the individual and may be necessary for various purposes such as claiming tax benefits, obtaining government assistance, or enrolling the dependent in certain programs or services. It is important to consult the specific guidelines and requirements to determine if you are eligible and required to fill out this form.
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Contra Costa County Dependent refers to persons who rely on financial support from Contra Costa County.
Individuals who have dependents who rely on financial support from Contra Costa County.
To fill out Contra Costa County Dependent, you need to provide information about the dependent's financial situation and support needs.
The purpose of Contra Costa County Dependent is to ensure that individuals who rely on financial support from the county receive the necessary assistance.
Information such as the dependent's financial situation, support needs, and any other relevant details must be reported on Contra Costa County Dependent.
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