Child Care Verification

ADVERTISEMENT

STATE OF WASHINGTON
DEPARTMENT OF SOCIAL AND HEALTH SERVICES
DIVISION OF CHILD SUPPORT (DCS)
Child Care Verification
TO:
CASE NUMBER:
The Division of Child Support (DCS) needs verification of your child care expenses for the period
.
Please have your child care provider complete a separate Child Care Verification Response (page 2 of this form) for
each child listed below. Then you must date and sign each response form, attach proof of payment for the care provided,
and return it to DCS at the address listed below. Proof of payment may be receipts or copies of cancelled checks. Return
the completed form(s) no later than
.
Children's Names
DATE
AUTHORIZED REPRESENTATIVE
DIVISION OF CHILD SUPPORT
Return the completed response form(s) to:
DIVISION OF CHILD SUPPORT
PO BOX 11520
TACOMA WA 98411-5520
Within
calling area
Outside
calling area
TTY/TDD services available for the speech or hearing impaired.
Visit our web site at:
No person because of race, color, national origin, creed, religion, sex, age, or disability, shall be discriminated against in employment, services, or any
aspect of the program's activities. This form is available in alternative formats upon request.
(1.7)
FG VER:
CHILD CARE VERIFICATION
Página 1
DSHS 18-607 SP (REV. 05/2015)

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 2