Child care providers can report issues with attendance and the Child Care Attendance Automation (CCAA) system using the form below. 

Select County from the drop-down menu first to filter the list of providers. Contact information will be populated with data on file; make any changes to name, phone number or email address before submitting the form.

Provider Name* (CCS Provider Number)
Contact Person*
Daytime Phone*
Email Address*
Issues to be reported (check all that apply)
A new child was scheduled to begin care, but has not attended.
Child's Name Scheduled Start Date
Absences must be reported by the third day that is missed.
Child/ren's Name(s)
Parent's Name Case Number
Date(s) Absent
Problem with CCAA system
or parent referral