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Office Use OnlyCHILD CARE ASSISTANCE PROGRAM Division of Public Assistance Child Care Program OfficeAPPROVED RELATIVE PROVIDER AND INCOME CAREGIVER HEALTH AND SAFETY TRAINING CHECKLIST Printed Name
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Here are the steps to fill out cc83 approved relative provider:
02
Gather all the required documents such as identification forms, proof of residency, and background check forms.
03
Fill out the applicant's personal information section, including their name, address, contact details, and social security number.
04
Provide details about the relationship between the applicant and the child who needs care, including their names, ages, and any relevant legal guardianship information.
05
Complete the healthcare information section, which includes providing the child's medical history, current medications, and any special needs or allergies.
06
Fill out the financial information section, including the applicant's income, expenses, and any other sources of financial support.
07
Sign and date the form, certifying that all the information provided is true and accurate.
08
Submit the completed cc83 approved relative provider form to the appropriate authority or organization, following their specific submission instructions.

Who needs cc83 approved relative provider?

01
Anyone who wishes to become a relative caregiver for a child in need may require a cc83 approved relative provider. This may include family members, such as grandparents, aunts, uncles, or siblings, who are seeking legal authorization to provide care and support to a child within the approved guidelines.
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cc83 approved relative provider is a designation given to a family member or close friend who has been approved by the court to provide care for a child in need of assistance.
The person designated as the approved relative provider is required to file the cc83 form with the court.
To fill out the cc83 form, the approved relative provider must provide information about themselves, the child in their care, and the nature of their relationship.
The purpose of cc83 approved relative provider is to ensure that children in need of assistance are placed in a safe and nurturing environment with a trusted family member or close friend.
Information such as the approved relative provider's contact information, relationship to the child, living situation, and any relevant background checks or certifications must be reported on the cc83 form.
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