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The document is a Child Care Calendar/Attendance Record form issued by the Government of Guam's Department of Public Health and Social Services. It is designed for service providers to track attendance and record details such as the child's name, date of birth, and attendance status for each day of the month. The form includes sections for parent or authorized individual initials, comments, and signatures from both the provider and parent/guardian.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the 'Service Month/Year' at the top of the form. This sets the timeframe for your attendance record.
Fill in the 'Service Provider' field with the name of your childcare provider, ensuring accuracy for proper documentation.
Next, input the 'Name of Child' and their 'Date of Birth' to identify the child associated with this record.
In the 'CCDF HOH Print Name / Case No.' section, provide your printed name and case number for reference.
For each day of the month, record 'Time In' and 'Time Out', along with initials from a parent or authorized individual to confirm attendance.
Use the comments section for any additional remarks regarding attendance, such as holidays or absences, indicated by appropriate codes (H, S, V, E, U).
Finally, ensure both provider and parent/guardian sign and date at the bottom of the form to validate it.

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What are the public assistance programs in Guam?

Guam Supplemental Nutrition Assistance Program (SNAP) Medicaid program, Medically Indigent Program (MIP) Governors Community Care and After School Child Care Programs, Relative and In-Home Care Provider Programs. Home Owner Assistance Program.

What is cash assistance Guam?

The Prugrman Salppe Program in Guam, established by Executive Order, provides direct cash assistance to individuals and households affected by the COVID-19 pandemic. This program offers a one-time payment of $300 per eligible household.

Who is eligible for child care in Guam?

* CHILDREN MUST BE: U.S. CITIZENS OR QUALIFIED ALIENS, AND MUST RESIDE WITH PARENTS, LEGAL GUARDIANS, FOSTER PARENTS, OR INDIVIDUALS ACTING IN LOCO PARENTIS.

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