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AD40 Additional Child Care Provider or Children Form

If you are applying for the Childcare Subsidy, use this form to fill out any additional children that there was not space for in the original form. You can find the original form here.

Child information

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Notice of Collection

Protection of Privacy - The personal information requested on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. It will be used for the purpose of assessing eligibility and arranging for the provision of the Child Care Subsidy from Saddle Hills County. Direct any questions about this collection to:  FOIP Coordinator, Saddle Hills County, RR 1, Spirit River, Alberta, Canada, T0H 3G0, 1-888-864-3760.