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NCDHHS Policies and Manuals  >  Divisional A-M  >  Child Development and Early Education  >  Subsidized Child Care Assistance  >  SCCA Forms

SCCA Forms

TitleCategoriesTypeFormatSizeLink
Benefits of Dev Monitoring and Screening, pdf215 KB
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Benefits of Dev Monitoring Screening with Spanish, pdf248 KB
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DCD-0446-2: Child Care Voucher Continuation Page, pdf319 KB
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DCD-0446: Child Care Voucher and Instructions, pdf254 KB
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DCD-0450-2: Child Care Action Notice Continuation Page, pdf664 KB
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DCD-0450: Child Care Action Notice and Instructions, pdf473 KB
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DCD-0458: Private Paying Rates and Other Fees and Instructions, pdf105 KB
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DCDEE-0093: Referral for Child Care Children with Special Needs, pdf118 KB
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DCDEE-0094: Approval of Supplemental Rate, pdf168 KB
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DCDEE-0447 SCCA Emergency Voucher, pdf62 KB
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DCDEE-0452: Provider Agreement, pdf123 KB
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DCDEE-0454-A: Child with Special Needs Additional Expense Documentation, pdf120 KB
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DCDEE-0454-B: SCCA Supplemental Payment Provider Information Form, pdf113 KB
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DCDEE-0456 Spanish: Application for Child Care Services and Instructions, pdf355 KB
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DCDEE-0456-B: SCCA Child Care Denial or Withdrawal Notice, pdf138 KB
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DCDEE-0456-B: Spanish SCCA Child Care Denial or Withdrawal Notice, pdf159 KB
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DCDEE-0456: SCCA Child Care Application, pdf328 KB
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DCDEE-0460: Information About Subsidized Child Care, pdf180 KB
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DCDEE-0463 Subsidy Appeal Form, pdf111 KB
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DCDEE-0465 Foster Care, CPS, CWS Referral, pdf1 MB
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DCDEE-0466 SCCA Request for Information, pdf977 KB
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DCDEE-0468 Waiting List Notice, pdf2 MB
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DCDEE-0469A Out of State Provider Checklist, pdf2 MB
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DCDEE-0469B Out of State Facility Information, pdf2 MB
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DCDEE-0470 Department of Defense Checklist, pdf2 MB
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DCDEE-0473 SCCA Narrative and Documentation Form, pdf2 MB
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DCDEE-0474 SCCA Verification of Child Support, pdf238 KB
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ECAC Handout, pdf262 KB
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ECACFactSheetSpanish, pdf254 KB
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LOOK WHAT I CAN DO FINAL, pdf148 KB
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LOOK WHAT I CAN DO WITH SPANISH, pdf183 KB
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NCFAST-20009 North Carolina Rights and Responsibilities for Public Assistance, , pdf277 KB
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