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Subsidy Program Forms

All forms are in PDF format. To download select the document from the list below.

For forms not listed, please contact Marin Child Care Council at 415.472.1092

 

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Provider Forms

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Attendance Record

Attendance Record- School Age

Attendance Record submission schedule for 2023 English and Spanish

Direct Deposit Authorization Form English and Spanish

Subsidy Handbook

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Contact us

555 Northgate Drive, Suite 105

San Rafael, CA 94903

Tel: 415.472.1092 

Fax: 415.472.2805

Staff Directory

Hours of Operation:

​Monday - Thursday 8am to 4pm​

Friday 8am - 3pm

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