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Get Mt Dphhs-hcs/cc-015 2011-2025
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How to fill out the MT DPHHS-HCS/CC-015 online
This guide provides clear and concise instructions on completing the MT DPHHS-HCS/CC-015 form online. Whether you are seeking assistance for child care or have questions about the process, this resource is here to support you.
Follow the steps to successfully complete the MT DPHHS-HCS/CC-015 form.
- Click ‘Get Form’ button to access the MT DPHHS-HCS/CC-015 form and open it in your browser.
- Begin by entering the head of household name in the designated field. This is the individual responsible for completing the form.
- Fill in the contact information, including the phone number and address of the applicant.
- Provide the necessary details about the child care provider. You must include the provider's name, license number, address, and telephone number.
- Indicate whether the child is related to the provider. If yes, specify the relationship.
- Complete the hours and days child care is provided section, specifying start and end times for each day of the week, and note if the schedule remains consistent or varies.
- Review all entered information for accuracy. Make sure any necessary documentation is ready to support your application.
- Once satisfied with the information provided, save your changes, and choose to download, print, or share the form as needed.
Complete your MT DPHHS-HCS/CC-015 form online today for an efficient application process.
Income Requirements Family SizeAnnual Income Limit*Monthly Income Limit 1 $51,610 $4,300 2 $67,490 $5,624 3 $83,370 $6,947 4 $99,250 $8,2702 more rows
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