Louisiana ccap application 2026

1. Click ‘Get Form’ to open the Louisiana CCAP Rate and Availability Verification Form in the editor.
2. Begin by entering the Case Name and Case ID at the top of the form. This information is crucial for identifying your application.
3. Fill in the Time and Attendance number, Worker’s name, and their contact phone number (877-453-2721) for any inquiries.
4. Provide details about the child, including their name, ID number, birthdate, and specify where care will be provided (Child’s Home, My Home, Type III Center, etc.).
5. Indicate whether you provide full-time or part-time care. For each type of care selected, enter the start date, total hours per week, and amount charged.
6. Complete the certification section by signing as a provider and providing your name, date, address, provider ID number (if known), and telephone number.
7. Finally, ensure that all sections are filled accurately before submitting the completed form to DOE/CCAP Household Eligibility at the specified address.

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