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CountyDepartment of Human Services Case #CLIENT RESPONSIBILITIES AGREEMENT, and,1. I agree to notify my child care worker in writing within ten (10) days if my income exceeds 85% of the State Median

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How to fill out cccap client responsibilities agreement

01

To fill out the CCCAP client responsibilities agreement, follow these steps: 1. Start by reading the agreement carefully and thoroughly to understand the terms and conditions.

02

Provide your personal information, including your full name, address, contact details, and any other required identification information.

03

Read each responsibility listed in the agreement and make sure you understand your obligations as a CCCAP client.

04

Sign the agreement, either by physically signing a hard copy or electronically signing if it is an online form.

05

Keep a copy of the completed agreement for your records.

06

Submit the agreement to the appropriate entity, such as the licensing agency or the CCCAP program administrator.

Who needs cccap client responsibilities agreement?

01

The CCCAP client responsibilities agreement is needed by individuals who are applying for or participating in the Child Care Assistance Program (CCCAP). This agreement outlines the responsibilities and obligations of the clients who receive financial assistance for child care services.

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