As a working parent, you know the importance of finding quality child care. But with so many daycare options available, how do you know which one is right for your family? Use this guide to help find the best child care for your little one. Child care can be expensive, but there are ways to get help paying for it. The Child Care and Development Block Grant (CCDBG) is a federal program that provides assistance to low-income families. To see if you qualify, submit an eav form las vegas . This guide will provide information on: -The types of child care available -How to choose the right provider -The CCDBG grant program -Other forms of
| Question | Answer |
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| Form Name | Child Care Eav Form Las Vegas |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | reimbursement, NV, timesheet, DOB |
Las Vegas Urban League |
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Child Care Subsidy Program |
Service Month: |
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Bill Annual Fee |
2470 N Decatur Blvd Suite 150, Las Vegas, NV 89108 |
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Bill Registration Fee |
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Child Care Enrollment Attendance Verification (EAV) Form
Provider Name: Provider Address:
Child Name:
Parent Name:
DATE
Overnight
On Track
PLEASE DO NOT USE WHITE OUT
Provider Tax ID or SSN:
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Phone |
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Child DOB: |
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Child UPI or SSN: |
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Child Track: |
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Child School Hours: |
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TIME IN |
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TIME OUT |
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TIME IN |
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TIME OUT |
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Parent Signature for Authorization of |
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Discretionary Day |
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Is the client's
Provider's Initials:
Yes |
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No |
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* |
If NO, balance due: $ |
* Please attach a record of monies owed by client
The timesheet must be completed DAILY by the client or other authorized individual. If a client chooses to use a discretionary day, the client must sign in the space provided for that date. A separate timesheet must be completed for EACH child. Timesheets must be COMPLETED and SIGNED by both the CLIENT AND PROVIDER at the end of each month to receive payment. Timesheets are DUE in the office listed above by 5:00 PM on the FIFTH business day of the month following the service period. Timesheets received after the FIFTH business day will be processed at the next available reimbursement period. Billings and registration/annual fees must be submitted not later than ninety (90) days after the month of service or are not eligible for payment approval.
We, the undersigned, certify the accuracy of the information submitted and understand that this information may be audited by either the Division of Welfare and Supportive Services (DWSS) or The Urban League Child Care Subsidy Program, and that any overpaid benefits will be recovered.
Parent Signature |
Provider Signature |