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For CCCAP Staff to Complete: Form Received Date:Case Number:Colorado Child Care Assistance Program (CCCAP) Redetermination of Eligibility Form Your current certification is ending and child care benefits will stop as of Please complete and sign this redetermination form as soon as possible, or by Without a signed redetermination form and required documents, we will be unable to determine your continued eligibility for CCCAP..Definitions: You The parent or primary guardian completing the...
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The form received date refers to the specific date on which a completed form is submitted and officially acknowledged by the relevant authority.
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The form typically requires the date of submission, the name of the filer, the purpose of the filing, and possibly other identification information as specified by the governing authority.
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