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Get Texas Tech University Child Care Expense Form 2017-2025

Mployment: How often paid? Monthly, Bi-monthly, Every week Child care needed for the following semesters: Summer Fall Spring (indicate year) The information on this form is used to validate childcare expenses for audit purposes. The name, address, telephone and signature of the provider must be completed. Please attach a copy of paid monthly statement. Child Care Expense Verification (to be completed by child care provider) Name of Child Care Provider: Address: Phone Child care.

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