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COUNTY OF SANTA CRUZ DEPENDENT CARE (D-Care) REIMBURSEMENT ACCOUNT CLAIM FORM SOCIAL SECURITY NUMBER DATE EMPLOYEE NAME WORK PHONE NUMBER HOME ADDRESS CITY STATE ZIP INSTRUCTIONS: 1. 2. 3. Complete
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What is onlinedcarecom form?
The onlinedcarecom form is a form used for reporting online care services.
Who is required to file onlinedcarecom form?
Any individual or company providing online care services is required to file the onlinedcarecom form.
How to fill out onlinedcarecom form?
The onlinedcarecom form can be filled out online by providing all the necessary information about the online care services being provided.
What is the purpose of onlinedcarecom form?
The purpose of the onlinedcarecom form is to report and monitor online care services being offered.
What information must be reported on onlinedcarecom form?
Information such as the type of online care services provided, the duration of the services, and the individuals receiving the care must be reported on the onlinedcarecom form.
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