COVID-19 Childcare
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* Please list the qualifying occupation at the end of this form.

* Please see the attached list of qualifying employer categories at the end of this form.

Please provide the name of the child in need of childcare.

Please provide the age of the child in need of childcare.

Please indicate the time, after 6:00 a.m., you plan to have your children arrive at childcare

Please state the time, before 5:30 p.m., you intend to pick your child up from child care.

Click on the link to see a list of positions and employers who are eligible to participate in this child care program.