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Get Ca Nsd 3101/cacfp 29 2018-2024

Name of Child Care Center: Please read the instructions. If you need help completing this form, call: Complete, sign, and return form to: 1. CHILD INFORMATION List names of all children enrolled for care. Last Name First Name Middle Initial Foster Child?* *If all children listed are foster children, go to Section 4. 2. BENEFITS If you are receiving CalFresh, California Work Opportunity and Responsibility to Kids (CalWORKs), or Food Distribution Program on Indian Reservations (FDPIR) benefits.

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