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You may download and print any of the following forms that your child's Family Service Provider has indicated are needed.  Please contact our Central Eligibility office if you have any questions regarding filling out any of the forms, and you may return the forms by mail or in person to the Skip-a-Long campus your child attends or our Administrative Office.


Child Care Assistance Application Online

Income Verification Form

End Employment Verification Form

Tip Income Verification Form


Looking For Child Care?
Why Choose Skip-a-Long?
How to Find Quality Care
Child Care Center Locations
Quality Child Care in a Home Setting
Our Child Care Centers
Davenport Campus
Moline Campus
Rock Island Campus
The Home Child Care Network
Considering a home child care provider?
Providing Care in Your Home
Parent and Home Provider Forms
Provider Forms
Parent Forms
For Businesses
Coordinate Child Care for Employees
Sponsorship and Volunteering
Become a "Business Buddy!"
About Us
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