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Click ‘Get Form’ to open the ECE 021 in our editor.
Begin by entering your Case Number and Program/Provider Number at the top of the form. Ensure these details are accurate for proper processing.
In the Household Information section, fill in your name, telephone number, and address. If any information has changed, indicate this clearly in the provided lines.
Answer whether your household is a two-parent/caretaker household and select the reason for child care from the options provided.
For each household member, check their marital and military status using the codes provided. If there are changes, be sure to mark them accordingly.
Add any new children or household members by filling out their details in the designated area. Remember to attach copies of birth certificates for new children.
Finally, review all entries for accuracy before saving or printing your completed form.

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