CC-213 (New 6 19) 2025

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The document is an intake form for the New Jersey Department of Human Services' Child Care Subsidy Program, specifically designed for children from families that qualify as homeless under the McKinney-Vento Homeless Assistance Act. It outlines the grace period for submitting necessary documentation to establish eligibility and includes sections for personal information, housing status, and certifications from both the parent/applicant and service provider.

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Versions	Form popularity	Fillable & printable
2019	4.1 Satisfied (50 Votes)

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