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ELRC 19
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Essential Child Care Works Eligibility Documents
ELRC 18 Philadelphia County
Application for Subsidized Child Care - English
Application for Subsidized Child Care - Spanish
Authorization for Release of Information Form - English
Authorization for Release of Information Form - Spanish
Cash Verification Form
Class Training Verification Form
Domestic Violence Verification Form - English
Domestic Violence Verification Form - Spanish
Education Verification Form
Employer Verification Form- English
Employer Verification Form- Spanish
Homelessness Verification Form
Medical Assessment Form - English
Medical Assessment Form - Spanish
Parent Schedule Review Form
Self Employment Income Statement
Self Employment Schedule of Care