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VA CHILDCARE EXPENSE LETTER - eprmg.net

VA CHILDCARE EXPENSE LETTER Revised 04/14/14 [ ] I/We pay $_____ per week to _____ for CHILDCARE . [ ] My/Our children stay with _____, who is related to us as _____. The cost for this care is $_____ per week. [ ] One or more of the children are of such age that CHILDCARE services are not required. [ ] I/We work opposite shifts and one of us is at home to care for the child/children. [ ] Other- please explain: _____ _____ _____ _____ Signature of Veteran/Applicant Date _____ _____ Signature of Veteran/Applicant Date

VA CHILDCARE EXPENSE LETTER Revised 04/14/14 [ ] I/We pay $_____ per week to _____ for childcare. [ ] My/Our children stay with _____, who is

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Transcription of VA CHILDCARE EXPENSE LETTER - eprmg.net

1 VA CHILDCARE EXPENSE LETTER Revised 04/14/14 [ ] I/We pay $_____ per week to _____ for CHILDCARE . [ ] My/Our children stay with _____, who is related to us as _____. The cost for this care is $_____ per week. [ ] One or more of the children are of such age that CHILDCARE services are not required. [ ] I/We work opposite shifts and one of us is at home to care for the child/children. [ ] Other- please explain: _____ _____ _____ _____ Signature of Veteran/Applicant Date _____ _____ Signature of Veteran/Applicant Date