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Get MI DHS-4025 2013

, or a lifetime. 7) I understand that if I choose an unlicensed provider: a. I am responsible for any child care charges for periods before my provider completes the Great Start to Quality Orientation. b. CDC payments will be issued to me and I am responsible for paying my provider. c. I am responsible for reporting child care payments to the IRS and issuing my provider a Form W-2 or Form 1099 MISC, if appropriate. Parent/Substitute Parent Signature Date PROVIDER: I agree to all of the followin.

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