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CHILD & ADULT CARE FOOD PROGRAM INCOME ELIGIBILITY FORM 2019 2020 Application for Tier 2 Eligibility Day Care Home Providers Provider Name: Instructions for completing this form are on the other side
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Child and adult care refers to the supervision and support provided to children and adults who may need assistance with daily activities.
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Individuals who provide child and adult care services as a business or for income are required to file child and adult care.
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Information such as the names and ages of the children or adults being cared for, the hours of care provided, and any expenses incurred must be reported on child and adult care.
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