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Get MD Voluntary Closure Days Request Form 2015-2024

Eral Information Provider Name: Provider ID Number: Contact Phone Number: Indicate the day(s) you plan to be voluntarily closed. Section 2: Notification of the voluntary closure days must be submitted to the parent(s) and Child Care Subsidy Central (CCS Central) PRIOR to the days of closure. Begin Date (MM/DD/YY) End Date (MM/DD/YY) Note: Child Care providers are allowed to be paid for up to two consecutive weeks of voluntary closure per year. Section 3: Signature ☐ I certify that I/w.

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