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  • ECE LEARNING
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    • Provider Resources
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      • IHE Course Offerings
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  • RAPID RESPONSE
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  • ELRC CONTACT
Up to 20% off patio Shop now
Up to 60% off summer footwear See more
  • ECE LEARNING
    ALLIANCE
  • NORTHWEST
    PDO
    • Provider Resources
    • Student Resources
      • IHE Course Offerings
    • Partner Resources
  • RAPID RESPONSE
    TEAM
  • ELRC CONTACT
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Family Forms

Helpful Information

Income Guidelines Sheet
For Parents Applying for Childcare Guide
Required Documents Guide
Full HIPPA Form For Reference
Forms for Applying for Childcare
Full Childcare Application
Childcare Provider Choice Form
Employment Verification Form (EVF)
Educational Class Training Schedule Verification Form
HIPPA Require Signature Form
Other Forms
Homeless Verification Form
Self Employment Form
Medical Disability Forms
TANF Forms
TANF Verification Form
Former TANF Self Certification Form
Self Declaration TANF Form
Foster Parent/Family Forms
Attestation Region 1 OCY Request
Attestation Region OCY Form
Attestation Region 1 OCY Cont'd Eligibility
Attestation Region 2 OCY Request
Attestation Region 2 OCY Form
Attestation Region 2 OCY Cont'd Eligibility

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Contact us

(814) 836-5898

info@nwirelrc.org

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Erie, PA  16505
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