SFN 616, Child Care Billing Report 400-19-165-95

(Revised 6/1/10 ML #3218)

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SFN 616, Child Care Billing Report form is to be used to verify child and adult dependent care expenses reported by TANF households. This form is used for JOBS, employment, training, and school-related child and adult dependent care.

 

This form is available through the Department of Human Services and may also be obtained electronically via E-Forms. (166kb pdf)

 

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