Families receiving child care assistance are required to report their children's attendance using the Child Care Attendance Automation (CCAA) system. If you need to report a lost attendance card, request additional cards or would like to remove existing cardholders, complete the form below.

Parent Information
First Name
Last Name
Case Number
Date of Birth
Daytime Phone
Email Address
Request (check all that apply)
Replacement Card
 Self  Other
Other Cardholder Name

Note: Once a replacement card is requested, the old card is deactivated and will no longer work to report attendance.

Add New Cardholder(s)

 

Parents may designate up to 3 additional cardholders for the family.  Cardholders must be at least 16 years old unless they are the parent of the child/ren in care. A child care provider may NOT be a cardholder, even if the provider is a relative.
Cardholder #1
First Name Last Name Date of Birth
Cardholder #2
First Name Last Name Date of Birth
Cardholder #3
First Name Last Name Date of Birth

Remove Cardholder(s)
Cardholder #1
First Name Last Name Date of Birth
Cardholder #2
First Name Last Name Date of Birth