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  • 02/07/2023
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Resource & Referral Forms

Form # Title
WV Child Credential Process Participant Application
WV Child Care Credential Participant Portfolio Checklist
WV Child Care Credential Instructions
WV Child Care Credential Employment Verification
WV Child Care Credential Application
Link FACTS Sheet
Link CCR&R Professional Development Needs Assessment
Critical Care Child Care Parent Agreement
Critical Care Child Care Assistance Status Check
Critical Care Family Application
CRITICAL CHILD CARE MEMO
EXECUTIVE ORDER: STAY HOME
CRITICAL CHILD CARE DIRECTIONS
Instructor Academy Requirements 2019
Academy Application 2019
Monthly Nomination 2019
ECE-CC-1E Status Check 11/2018
Provider Request for Technical Assistance Form
ECE-CC-10A Child Care Provider Request for Payment
ECE-CC-1 Application for Child Care Services
Confidentiality Statement for the FACTS Plus Application
FACTS PLUS Application
FACTS Direct Deposit Setup
ECE-CC-10F Provider Notice to Agency
ECE-CC-1B New Employment Verification
ECE-CC-0162B Change of Information
ECE-CC-10D Child Care Parent Fee Notice
ECE-CC-10G Child Care Attendance Sheet

Page last updated: Jan 13, 2023

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611 7th Ave - Suite 100
Huntington, WV 25701
Phone: 304-523-9540 or 1-800-894-9540
Fax: 304-697-4821