CCPP Provider Forms and Documents

Hand on pen filling out a form

Forms, resources, and links for child care providers in the Child Care Payment Program.

CCPP Policy Manual

The Child Care Payment Program (CCPP) Policy Manual is your key reference point for compliance and best practices for having a successful experience with the CCPP.

Child Care Payment Program Policy Manual

CCPP Provider Management

The e-Ledger system is the payment system for the CCPP.

Service Request
Use the Service Request form to request help or to upload documents.

Change of Child/Ledger Info
Use this form to report problems with any information on the ledger including issues with rates, duplicate children, missing children and children who no longer attend.

Change of Provider Request – Training for Providers
This training helps current and new providers know what to expect when parents make a change.

Provider Document Submission Form
Child care providers can use this form to upload necessary documents.

Provider Sign-In/Sign-Out Sheets
In the event of program closure, three (3) years of sign-in/out sheets must be provided to the Lead Agency upon the last day of operation

New Provider Application

Provider Application
Use this packet to begin your application to become a CCPP provider.

Health, Immunizations & COVID-19

Form 121 Certificate of Immunization
Each provider and enrolled child should have a completed form on file with the child care provider.

Health and Safety Assurances for Unlicensed Child Care Providers in the Child Care Payment Program
This form demonstrates provider understanding of health & safety regulations for participation in the CCPP.

Provider Reopen/Closure Form
File this form to notify us of your intent to temporarily close or reopen.

COVID-19 Center Exposure Form
File this form to alert us to any COVID-19 exposure in your facility.

CCAIR Training Certificate
Once you have completed Child Care Assistance in Isolation Response (CCAIR) training, submit your certificate here.

Payment & Tax Forms

W-9 Form and W-9 Instructions
This is the standard form that allows us to document payments to you.

Report of Underpayment/Overpayment
Please use this form to report any problems with an over-payment or under-payment. Payment adjustment request MUST be submitted within 10 days of the disputed payment in order to be processed. NOTE: Sign In/Out Sheets must be submitted in addition to this form.

CCPS Check Replacement Request (PDF)

The State Treasurer’s Office Stop Payment Request form and the original Lost Warrant Replacement Request forms must be sent directly to the State Treasurer’s Office prior to the replacement of any lost warrant.

Paid Holidays

DECCD will pay for up to 11 holidays for the period beginning October 1 through September 30. If the Governor allows days in addition to the list below in observance of a holiday, providers will be notified that they are also allowed these extra days. If the identified holiday falls on a weekend, the DECCD Director will designate weekdays to observe the holiday at their discretion.

The approved DECCD paid holidays for licensed centers are as follows:

  • January 1 – New Year’s Day
  • Third Monday of January – Martin Luther King Jr. Day
  • Friday before Easter – Good Friday
  • Last Monday of May – Memorial Day
  • July 4 – Independence Day
  • Third Thursday and Friday of November – Thanksgiving & following day
  • December 24, 25 – Christmas Eve & Christmas Day
  • December 31 – New Year’s Eve

Get In Touch

Child Care Payment Program

Need help with the Child Care Payment Program? Call us at 800-877-7882.