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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DOC.422.40
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Form DOC.422.40 Provider Payment Extension Request - Child Turning 13 - Child Care Scholarship Program - Maryland
What Is Form DOC.422.40?
This is a legal form that was released by the Maryland State Department of Education - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DOC.422.40?
A: Form DOC.422.40 is the Provider Payment Extension Request form.
Q: Who is the form for?
A: The form is for providers participating in the Child Care Scholarship Program in Maryland.
Q: What is the purpose of this form?
A: The form is used to request a payment extension for a child who is turning 13 years old.
Q: Why would a payment extension be needed?
A: A payment extension may be needed because the Child Care Scholarship Program normally covers children until they turn 13, but in some cases, an extension may be granted.
Form Details:
- Released on March 1, 2022;
- The latest edition provided by the Maryland State Department of Education;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DOC.422.40 by clicking the link below or browse more documents and templates provided by the Maryland State Department of Education.
