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

SCCA Forms

TitleTypeFormatSize 
Benefits of Dev Monitoring and Screeningpdf215 KB
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Benefits of Dev Monitoring Screening with Spanishpdf248 KB
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DCD-0446-2: Child Care Voucher Continuation Pagepdf319 KB
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DCD-0446: Child Care Voucher and Instructionspdf254 KB
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DCD-0450-2: Child Care Action Notice Continuation Pagepdf664 KB
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DCD-0450: Child Care Action Notice and Instructionspdf473 KB
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DCD-0458: Private Paying Rates and Other Fees and Instructionspdf105 KB
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DCDEE-0093: Referral for Child Care Children with Special Needspdf118 KB
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DCDEE-0094: Approval of Supplemental Ratepdf168 KB
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DCDEE-0447 SCCA Emergency Voucherpdf62 KB
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DCDEE-0452: Provider Agreementpdf123 KB
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DCDEE-0454-A: Child with Special Needs Additional Expense Documentationpdf120 KB
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DCDEE-0454-B: SCCA Supplemental Payment Provider Information Formpdf113 KB
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DCDEE-0456 Spanish: Application for Child Care Services and Instructionspdf355 KB
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DCDEE-0456-B: SCCA Child Care Denial or Withdrawal Noticepdf138 KB
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DCDEE-0456-B: Spanish SCCA Child Care Denial or Withdrawal Noticepdf159 KB
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DCDEE-0456: SCCA Child Care Applicationpdf328 KB
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DCDEE-0460: Information About Subsidized Child Carepdf180 KB
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DCDEE-0463 Subsidy Appeal Formpdf111 KB
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DCDEE-0465 Foster Care, CPS, CWS Referralpdf1 MB
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DCDEE-0466 SCCA Request for Informationpdf977 KB
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DCDEE-0468 Waiting List Noticepdf2 MB
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DCDEE-0469A Out of State Provider Checklistpdf2 MB
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DCDEE-0469B Out of State Facility Informationpdf2 MB
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DCDEE-0470 Department of Defense Checklistpdf2 MB
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DCDEE-0473 SCCA Narrative and Documentation Formpdf2 MB
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DCDEE-0474 SCCA Verification of Child Supportpdf238 KB
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ECAC Handoutpdf262 KB
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ECACFactSheetSpanishpdf254 KB
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LOOK WHAT I CAN DO FINALpdf148 KB
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LOOK WHAT I CAN DO WITH SPANISHpdf183 KB
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NCFAST-20009 North Carolina Rights and Responsibilities for Public Assistancepdf277 KB
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