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Child Care Services (CCS) will contact you within five (5) business days of receipt of the request.
If selecting "Married," provide a copy of the marriage certificate, the spouse's Social Security Number, and the spouse's date of birth. If applicable, add spouse to Food Stamps case.
Provide a Child Support Verification Form, copy of birth certificate, and social security number to enroll.
Provide 2-4 check stubs or a Wage Verification Form.
Provide a copy of your work schedule.
Provide a copy of work schedule.
Temporarily unable to work due to illness, injury, or maternity leave.
Documentation will be required.
Documentation may be required.
This field is not part of the form submission.
* indicates a required field