Forms
Whether you're a parent or child care provider, you can find the forms you need in the tabs below.
Click on the drop-down menu relevant to what you're looking for, then click on the specific form you would like to open. Each form will open in a new window as a PDF. You may either print from this window or you can right-click on the form and select "Save as..." to save the file to your computer.
Licensed Centers - CCCAP Reimbursement Rates
Licensed Home Providers - CCCAP Reimbursement Rates
REACH Providers - CCCAP Fiscal Agreement Packet
- REACH Child Care Provider Information(PDF, 86KB)
- Request for Payment Form(PDF, 59KB)
- KeyBank Brochure(PDF, 7MB)
- KeyBank Prepaid Debit Card Provider Enrollment Form For Payments from Colorado Department of Human Services(PDF, 348KB)
- Provider Direct Deposit Enrollment Form For Colorado Cash Assistance Benefits(PDF, 262KB)
- W-9: Request for Taxpayer Identification Number and Certification(PDF, 128KB)
- SS-31 Self-Assurance Form/Client Acknowledgement(PDF, 28KB)
- Affidavit of Legal Residency(PDF, 29KB)
- REACH-QE-Rates-092021.pdf(PDF, 66KB)
- Qualifed-Family-Child-Care-Home-Provider-Information-Form-052021.pdf(PDF, 307KB)
If you need a form in a different format, or if the form you need is not available here, please call (970) 400-6594 or email childcareprovider@weldgov.com for assistance.