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CODES Service Code HS- Head Start or CC- Child Care Eligibility Code A- Preventive/Non-Mandated B- Preventive Mandated C- Placement D- Protective and identify what these needs are in the comments section. For reauthorization of Child Care services after the end of the service dates resubmit a CS-186D-2 referral form. 6. CS-186D-2 PAGE 1 OF 4 REV. 11/08 Referral for Child Care and Head Start Services CCHS THIS IS NOT A VOUCHER For Child Care Refer.

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How to fill out the Cs 186d 2 form online

The Cs 186d 2 form is essential for referring children to Child Care and Head Start services. This guide provides a clear, step-by-step approach to completing the form online, ensuring that users who may have limited legal experience can navigate the process with ease.

Follow the steps to successfully complete the Cs 186d 2 form online.

  1. Press the ‘Get Form’ button to obtain the form and open it in your online editor.
  2. Fill in the case identification section with the State Central Register (SCR) case number and case name.
  3. Indicate the type of referral by checking the appropriate box for new, reauthorized, or termination, and provide the date of referral if applicable.
  4. Complete the referral source information by inputting the name, agency, phone number, fax, and email of the referral source, as well as the case planner's contact details.
  5. Provide family and caretaker information including the caretaker's name, title, phone numbers, address, annual income, and employment status if applicable.
  6. List the children needing care by providing their names, sex, primary language, special needs status, birth dates, service codes, borough requirements, and service dates.
  7. If there are more than three children needing services, copy the relevant section and complete it for additional children.
  8. Obtain an authorizing signature from the relevant personnel in Family Permanency Services, Family Support Services, or Child Protective Services, and provide their contact information.
  9. Once all sections are completed, save changes and use the available functionalities to download, print, or share the form as necessary.

Complete the Cs 186d 2 form online today to ensure prompt access to child care and Head Start services.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232