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> Departments > Human Services > Food/Medical/Financial Assistance > CCAP > Provider Forms

CCAP Providers Page

Forms for all CCAP Providers

  • LCHS 4208 Sign In/Out
  • LCHS 4211 Manual Billing & Attendance Record
  • LCHS 4272 Acceptable Billing Formats
  • Form W-9
  • LCHS 4220 Payment Options
  • ACH FORM for COLORADO PROVIDERS, For Direct Deposit Payments
  • LCHS 4223 Agreement to Pay Overdue Parental Fees
  • LCHS 4224 Unpaid Parental Fee Report

New in 2010

  • LCHS 5566 Mandatory Provider Training Information & Registration Form
  • LCHS 5565 Point-of-Service (POS) Device Provider Agreement

Packets of forms, by type:

Forms [packet] specific to Licensed Child Care Centers

Forms [packet] specific to Licensed Family Child Care Homes

Forms [packet] specific to Qualified Family Child Care Home Providers


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