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PAGE 1 OF 4) nycACS REV. 2/06 DIVISION OF

www.nyc.gov

DIVISION OF CHILD CARE AND HEAD START INSTRUCTIONS FOR COMPLETING YOUR APPLICATION FOR CHILD CARE SUBSIDY OFFICE BOX Gray shaded boxes are for office use only.

  Care, Division, Child, Nycacs rev, Nycacs, 2 06 division of, Division of child care and

nycACS R EV 6/02 NYC Administration for REFERRAL …

www.nyc.gov

A CD 1069 R EV 6/02 REFERRAL TO EMPLOYER FOR EMPLOYEE INCOME INFORMATION Emplo yee’s Name: _____ _ _ _ _ _ _ …

  Information, Income, Employee, Employers, Employer for employee income information, Nycacs

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