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Request to Revew Wage Support Bonus Phase 2
Use this form to request a review of eligible wage support bonuses. You must complete this form in its entirety, supplying documentation to support your dispute. Your submission will be reviewed and concluded within 5 business days. You will receive email notification of decision.
License
(Required)
DCCC (Child Care Center)
DCGH (Group Home)
DCFH (Family Child Care)
DCEX (Exempt Child Care Center)
Registry Id Number (Exempt)
Number
(Required)
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Reason for Dispute
(Required)
I did not receive the accreditation bonus
I did not receive the Care 4 Kids bonus
I did not receive the Infant and Toddler bonus
Upload Documents
(Required)
Drop files here or
Select files
Max. file size: 50 MB.
Click on the "select file" button to upload docuements that prove you are to receive the bonus.
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