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Download Forms

Child Care Provider Grant Application

Change of Information Form

Thirty Day Job Search

New Employment Verification

Payment Request "Billing" Form

Attendance Sheet

Provider Training Record

Emergency Information / Permission Form

Child Health Assessment

Provider Request Form for Technical Assistance

The Child Care Resource Center, sponsored by Catholic Charities WVa, is a separate entity from the
West Virginia Department of Health and Human Resources (Department). The Department has not control over the daily operations of the Child Care Resource Center, nor is it liable for the actions of the Child Care Resource Center. This program is being presented with financial assistance as a grant from the West Virginia Department of Health and Human Resources.