Download PDF format - Gavilan College - gavilan 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out your personal information on SIDE I, including your Case Number, Client’s Name, SSN, and Address. Ensure all details are accurate and clearly printed.
3. Indicate any changes since your last report regarding your address, child care provider, or phone number. If applicable, provide a brief explanation in the designated area.
4. In the Employment section, confirm if you are submitting a child care billing report alongside this attendance verification. This is crucial for timely payments.
5. Complete SIDE II by reporting your daily hours of participation in assigned activities. Be sure to exclude travel and lunch times from total hours reported.
6. Finally, sign and date the form at the bottom of SIDE II to certify that all information provided is true and correct before submission.

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