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DSS Form 3773 (FEB 15) DSS Form 3773 (DEC 09) qxd - dss sc

DSS Form 3773 (FEB 15) DSS Form 3773 (DEC 09) qxd - dss sc-2025

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The document is a Level C Provider Rate Certification Form for the South Carolina Department of Social Services SC Voucher Program. It outlines the reimbursement rates for child care services based on age groups and care types, ensuring that the rates do not exceed established maximums or the provider's actual charges. The form also includes sections for registration fees and second child discounts, requiring certification from the child care provider regarding compliance with the stated rates.

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