Opm form 1644-2026

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3808 votes

The document is a form for child care providers participating in the Child Care Subsidy Program for Federal Employees. It collects necessary information about the parent, provider, and child to verify eligibility for subsidies. The form includes sections for provider details, child enrollment, financial institution information for payments, and a privacy statement regarding the use of personal data.

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Click ‘Get Form’ to open the opm form 1644 in the editor.
Begin with Section I, where you will enter the parent information. Fill in the name of the parent or legal guardian and their federal agency.
Proceed to Section II for provider information. Select the type of provider, then complete fields such as the provider's name, address, email, and phone number.
In Section III, provide details about each child enrolled. Include their names, enrollment dates, and whether they receive any other subsidies.
If applicable, fill out Section IV with your financial institution's account details for payment deposits.
Finally, complete Section V by signing and dating the form to certify that all information is accurate.

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Versions	Form popularity	Fillable & printable
2009	4.9 Satisfied (42 Votes)
2005	4.4 Satisfied (3808 Votes)

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form 1644

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