endstream endobj startxref Many updates and improvements! stream Information for Early Education Providers, Department of Early Education and Care (EEC) laws, regulations, and Policies, Licensing Policies for Family Child Care Providers, contact the Executive Office of Education. Mass.gov is a registered service mark of the Commonwealth of Massachusetts. /Tx BMC Please limit your input to 500 characters. Try it out now! Lost or Stolen Badge Replacement. Create an account. Definition (s): The party that provides assurance to the other party (the recipient) that the two parties have indeed established a shared secret or shared keying material. Find pdfFiller for Gmail in Google Workspace Marketplace. Early Childhood Education and Care Single Sign On. Send confirmation of provider form via email, link, or fax. Download and install the pdfFiller Google Chrome Extension to your browser to edit, fill out, and eSign your confirmation of provider form eec, which you can open in the editor with a single click from a Google search page. endstream endobj 113 0 obj <>/Subtype/Form/Type/XObject>>stream Sign it in a few clicks. Attn: Lisa Davidson. /Tx BMC EEC has designed the following expedited process to balance the urgency of reopening with the need to have appropriate health and safety protocols in place: INTENT TO REOPEN: On Monday, June 8, EEC distributed an "Intent to Reopen" form to ask each provider about their intent to reopen under the Minimum Requirements for Health and Safety. Child Care Choices of Boston will work with each family to help determine the best financial assistance they can provide. endstream endobj 116 0 obj <>/Subtype/Form/Type/XObject>>stream @@^D \@.P5;XbkynT[KznQQEe5aT{Dp {P|LQ`Bn4ij B#@Vp 2.#ld @0$c\I.d7#rO~3Ia% ]j^`b;\rw0zf0n{^!1&$H`8K&.kpZbE}}! Please let us know how we can improve this page. endstream endobj 115 0 obj <>/Subtype/Form/Type/XObject>>stream hWmo"7+~BwRi Q>lP^>cq&:Ual<3^b)2L)|rcJ,1iVi%B1-5K Sc)0h}f\LKn7Wt )(ZEG|Fhr.IRee1+{})y-lmdpz)'i72;cv3"bVlPii}6\-akcbV|QJ&C. Please check your spelling or try another term. City: Telephone number: City: State: Zip: Email: /Tx BMC Community Care for Kids. Prepare a file. If you need assistance, please contact the Executive Office of Education. Include the date to the document with the Date function. /Tx BMC Complete and submit this form along with a completed Confirmation of Provider form to verify a start date for a new . /k?f0hX"!xKb ML`_L0#_?9al]}%uhD|TkZ/%t;XEwl4~Lt w&`r;;r] (`5,$WOwU_q3iUA%139mr&;,.`P4:06|%$7Gw [&P$Z.!1?B8@6,rrhcD This site uses cookies to enhance site navigation and personalize your experience. We will use this information to improve this page. /Tx BMC It stores information about the retention and turnover of educators working in early education and out-of-school time programs. is not the form you're looking for? Key-confirmation provider. L v rL\Z,1px0w0,ct 8f0aax`y & IC 1~. USLegal received the following as compared to 9 other form sites. EMC USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. This information will help EEC build a workforce development . Forms, Real Estate The feedback will only be used for improving the website. Edit your confirmation of provider form online. hb``c``>& /Tx BMC react-native-phone-number-input style; confirmation of provider form eec. & Estates, Corporate - Please let us know how we can improve this page. Open PDF file, 84.44 KB, for Children's Record Checklist and Instructions (PDF 84.44 KB). CONFIRMATION OF PROVIDER Once you have chosen the child care provider who will care for your child(men), please have the provider complete and sign this form to help the completion of the voucher. DocHub v5.1.1 Released! Please make note of date, name, type of child with parent(s), address and telephone number as well as the first and last initial and last name of the child care provider. Itemized Receipt. EMC To RESERVE your place on the Winter Weekend, please send a non-refundable deposit of 30.00 per person. Please submit this by your child's first day of camp or we will not be allowed to accept medication on site. endstream endobj 117 0 obj <>/Subtype/Form/Type/XObject>>stream Dedicated to promoting an educated Early Childhood Workforce, CCAOA has on-line training programs and webinars to enhance your career! /Tx BMC This is necessary as the Child Care Provider will check social security numbers of individuals for the purpose of verification. endstream endobj 119 0 obj <>/Subtype/Form/Type/XObject>>stream Some page levels are currently hidden. is not the form you're looking for? unemployment Login will sometimes glitch and take you a long time to try different solutions. Make the steps below to fill out Eec confirmation of provider form online easily and quickly: Make the most of DocHub, the most straightforward editor to rapidly manage your paperwork online! Draw your signature, type it, upload its image, or use your mobile device as a signature pad. DOE HQ F 580 (fillable pdf). How to edit eec confirmation of provider form online. calling you over maxi dress 108 0 obj <> endobj Give this to your child care provider once you have initially secured their services. This form is NOT confirmation that a voucher will be issued. endstream endobj 127 0 obj <>/Subtype/Form/Type/XObject>>stream . If a program you are researching does not appear in your search results, you may call the EEC regional licensing office for your area to confirm whether the program is licensed by EEC. When you call, please provide the number to call. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Please remove any contact information or personal data from your feedback. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. Service, Contact 248 0 obj <>stream EMC Top-requested sites to log in to services provided by the state. How can I manage my eec confirmation of provider form directly from Gmail? endstream endobj startxref EEC Confirmation of Provider Form . EMC 4 0 obj 185 0 obj <>/Filter/FlateDecode/ID[]/Index[105 152]/Info 104 0 R/Length 180/Prev 407379/Root 106 0 R/Size 257/Type/XRef/W[1 3 1]>>stream The PACE Provider Application and Appendices, available in the Downloads area of the page, provides an electronic version of the application that States and PACE Provider Sites utilize to complete and submit the Provider Application. endstream endobj 128 0 obj <>/Subtype/Form/Type/XObject>>stream You can use pdfFillers add-on for Gmail in order to modify, fill out, and eSign your confirmation of provider form eec along with other documents right in your inbox. Share sensitive information only on official, secure websites. Ensures that a website is free of malware attacks. EEC's new Professional Qualifications Registry gathers important information on the size, composition, education, and experience of our current workforce. The Department of Early Education and Care LEAD - EEC Provider Licensing Portal The LEAD Portal is for EEC Licensed and Funded Programs to apply for and renew their license, respond to visits and investigations, submit transactions, access their Child Care Search information, and apply for grant funding. If you would like to continue helping us improve Mass.gov, join our user panel to test new features for the site. EMC Follow the guidelines below to take advantage of the professional PDF editor: Create an account. endstream endobj 114 0 obj <>/Subtype/Form/Type/XObject>>stream Fillable documents may be executed from any internet-connected device without leaving Chrome. 2298 Main Street Brewster, MA 02631 (508) 237-3487 . IMPORTANT: /Tx BMC Family Child Care Licensing Fees and Payment Instructions. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". Child Care Circuit - Confirmation of Provider Form: This form must be completed by our office, as well as a parent, in . Pursuant to your Voucher Agreement, you will only be reimbursed for You can use three available options; typing, drawing, or uploading one. You may also have the Child Care Provider fax or mail in the form. /Tx BMC xqSeJ" mJm))9L|r|P$CKy.$9n]U]3wvOK;Os8tW=_|_vo8|G?c q_. Business. confirmation of provider form eecOur Blog . This Provider Application has been updated to reflect the provisions of the December 2006 final PACE regulation . Give this to your child care provider once you have initially . EEC Family Child Care Enrollment Packet (Spanish) EEC Forms Packet; EEC Parent Handbook; EEC Self-Assessment for Licensing Renewal; Infant/Toddler Progress Report (EEC Sample) Infant/Toddler . An IHSS social worker will talk to you about your eligibility for IHSS. License Agreement to Permit Tompkins County Sheriffs Office, Town of Enfield WPCF, CT0100200, Final Permit. You may save it as a PDF, email it, or upload it to the cloud. hbbd```b``Z"l@$fzL:H}`vlj`h0(}DrMf 9DJ ? Edit confirmation of provider form eec. With DocHub, making changes to your paperwork takes only some simple clicks. /Tx BMC Confirmation Of Provider Form Get your file. Give this to your child care provider once you have initially secured their services. Attorney, Terms of Login. USLegal fulfills industry-leading security and compliance standards. /Tx BMC Quickly add and highlight text, insert pictures, checkmarks, and icons, drop new fillable areas, and rearrange or delete pages from your paperwork. Some page levels are currently hidden. If you need assistance, please contact the Department of Early Education and Care. Source (s): NIST SP 800-56B Rev. Fill out, edit & sign PDFs on your mobile, pdfFiller is not affiliated with any government organization. April 1, 2022 confirmation of provider form eecre/done 90s high rise loose jeans blackre/done 90s high rise loose jeans black << /Length 5 0 R /Filter /FlateDecode >> %PDF-1.3 % Comments and Help with confirmation of provider form. This NPDES Water Permit, APPLICATION & AGREEMENT - daymetcu.com, Facilitating Capital Formation and - Federal Register, How to Write a Request for Proposal or RFP. Quincy, MA 02169. By using this site you agree to our use of cookies as described in our, Sign up and log in to your account. Send confirmation of provider form eec via email, link, or fax. Unemployment insurance is a form of social insurance, administered by Michigan's Unemployment Insurance Agency (UIA). CONFIRMATION OF PROVIDER Once you have chosen the child care provider who will care for your child(ren) . Please complete the following form to receive your voucher. !|O.o k+: services, For Small Planning, Wills Select your file from the documents list and pick your export method. Go to the MiWAM sign-in page by clicking the official link provided below miwam employer login. If you need to end a placement or to change providers prior to the scheduled end date of a voucher, please do the following: Provide two weeks notice in writing indicating the child(ren)'s expected last day of attendance. Log in to the editor using your credentials or click. CONFIRMATION OF PROVIDER Once you have chosen the child care provider who will care for your child(ren), please have the provider complete and sign this form to help the completion of the voucher. EEC Confirmation of Provider Form . .P"'pm. To RESERVE your place on the Winter Weekend, please send a non refunda. Otherwise, this form will serve as confirmation for the child to enroll) How many absences are you willing to accept prior to enrolling? Thank you for your website feedback! /Tx BMC Thank you for using the PCT Caregiver Assistance Program. Type all necessary information in the required fillable fields. endstream endobj 120 0 obj <>/Subtype/Form/Type/XObject>>stream We will be looking into this with the utmost urgency, The requested file was not found on our document library. h The voucher will be held by our Child Care Provider for 5 days. Download your adjusted document, export it to the cloud, print it from the editor, or share it with . Thank you for your website feedback! endstream endobj 125 0 obj <>/Subtype/Form/Type/XObject>>stream All Providers Please Print Clearly. endstream endobj 131 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC Type all necessary information in the required fillable fields. %PDF-1.6 % Please do not include personal or contact information. h1QE{CMEX -h$=U(PJsMEb"&9%)5C\fN=>nt>T})e_ %%EOF The Napa County In-Home Supportive Services (IHSS) Public Authority assists recipients and providers within the Napa County IHSS program. Use the Add New button to start a new project. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file. Get access to thousands of forms. Easy to install from the Apple Store. If you will be using more than one provider, use one form per provider. General Forms. Fill in every fillable field. We will use this information to improve this page. Follow the guidelines below to take advantage of the professional PDF editor: Dealing with documents is simple using pdfFiller. (EEC only pays for 30 absences in a six month period) Please refer to EEC's Attendance Policy . (confirmation form, authorization form and instructions will be sent to you from CCRS) (This process is free); Certificate of completion of First Aid/CPR Once AHCA receives confirmation of a member's eligibility, AHCA notifies Once a practitioner or provider submits an application, the credentialing staff 01. 2021 Paid Time Off and Unpaid Days Form - NEW! EEC Confirmation of Provider Form Required for voucher applications Nauset Youth Alliance Stony Brook Elementary School (Main Office) 384 Underpass Road PO Box 541 Brewster, MA 02631-0541 (508) 896-7900 (508) 896-7900 Eddy Elementary School. Ensure everything is filled in properly, without typos or absent blocks. Fill out, edit & sign PDFs on your mobile, CONFIRMATION OF PROVIDER Once you have chosen the child care provider who will care for your child(men), you can use this form to verify expected enrollment. Technology, Power of Certificate of Property / Property Removal Authorization Use this button to show and access all levels. Spanish, Localized Eligibility of low-income status is based on State Medium Income. /Tx BMC This site uses cookies to enhance site navigation and personalize your experience. Parents and care provider must complete and sign this form in person at the center of the center. Handbook, DUI Begin by choosing Start Free Trial and, if you are a new user, establish a profile. If your family is eligible for a childcare voucher, Boston's Bridge to Excellence programs accept these voucher to cover the cost of tuition for any of their program offerings. We will be looking into this with the utmost urgency, The requested file was not found on our document library. Ensure everything is filled in properly, without typos or absent blocks. EMC You skipped the table of contents section. Follow our simple steps to get your Eec Confirmation Of Provider Form well prepared quickly: Pick the template in the library. Please return forms to [email protected] or mail to: Quincy Community Action Programs. EMC Share your form with others. You can also download it, export it or print it out. An official website of the Commonwealth of Massachusetts, This page, Forms for Managing Financial Assistance, is. Adjusting paperwork with our feature-rich and user-friendly PDF editor is easy. Medication Administration Form : This is required if your child will have medication on-site with us this summer. - confirmation of provider form eec, If you believe that this page should be taken down, please follow our DMCA take down process, This site uses cookies to enhance site navigation and personalize your experience. Follow these quick steps to change the PDF Confirmation of provider form online free of charge: Our editor is very user-friendly and efficient. Form Popularity confirmation of provider form eec. Please limit your input to 500 characters. Keywords relevant to eec confirmation of provider form, Related Features HRKB!s Create, modify, and share confirmation of provider form using the pdfFiller iOS app. This page is located more than 3 levels deep within a topic. NATURE OF PROPOSED DEMOLITION Use block 21 for sketches. Login to access free child care provider information for cities/towns in Central Massachusetts. Family Child Care Application Payment Instructions (DOCX 9.33 KB) FCC Application Payment Instructions - Spanish (Instrucciones Para El Pago De Su Solicitud) (PDF 49.34 KB) Application Fee Schedule (PDF 43.74 KB) Application Fee Schedule - Khmer (PDF 44.97 KB) 9. Nauset Youth Alliance Stony Brook Elementary School (Main Office) 384 Underpass Road PO Box 541 Brewster, MA 02631-0541 (508) 896-7900 (508) 896-7900 . DOE HQ F 331.1 (fillable pdf): Delegation of Awards Approval: DOE HQ F 473.1 (fillable pdf). Top-requested sites to log in to services provided by the state. EMC Contact Cynthia Doucette at 978-722-2547 for additional . 105 0 obj <> endobj Prepare a file. The Department of Early Education and Care publishes a geographically-searchable online directory of licensed child care programs across the state. Save the document or print your PDF version. Begin by choosing Start Free Trial and, if you are a new user, establish a profile. Family Child Care License Upgrade Fees and Payment Instructions ; Open PDF file, 54.06 KB, for Upgrade Application Payment Instructions (PDF 54.06 KB) ; Open PDF 01. If you have questions about where you should mail your voucher, we require that you include instructions and photos for the mail in to our center. DocHub v5.1.1 Released! Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL. %PDF-1.3 % By completing and signing this form, you, Form Popularity confirmation of provider form eec, Get, Create, Make and Sign confirmation of provider form eec. EMC This page is located more than 3 levels deep within a topic. How do I edit confirmation of provider form in Chrome? endstream endobj 112 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 124 0 obj <>/Subtype/Form/Type/XObject>>stream hb``c``r` P#0p4 A1fK/37Z,+X9Y0Y1nLaF+vfVTb w endstream endobj 9 0 obj <> endobj 10 0 obj <> endobj 11 0 obj <>stream \v[eHG'i,D. ) or https:// means youve safely connected to the official website. Make sure your email address is correct, we will NOT automatically email back the voucher. The intuitive drag&drop user interface makes it easy to include or relocate areas. Theft, Personal Voucher Information. /Tx BMC /Tx BMC @ kC Edit Eec confirmation of provider form. endstream endobj 123 0 obj <>/Subtype/Form/Type/XObject>>stream To access your provider profile and to update your information on-line, or if you have questions about OPS, please contact Marybeth Brown at 508 796-1838 or [email protected]. Editing and go to the cloud send confirmation of provider once you have initially below employer!: our editor is very user-friendly and efficient, upload its image or! Use the add new button to show and access all levels the library per provider per provider /Subtype/Form/Type/XObject >... As the child Care provider who will Care for your child will have medication with. Use block 21 for sketches & Sign PDFs on your mobile device as a pad... Our child Care programs across the state! |O.o k+: services, for Small Planning, Select... Community Action programs Delegation of Awards Approval: doe HQ F 473.1 ( fillable PDF ) of 30.00 person... About your eligibility for IHSS or absent blocks, Wills Select your file leaving Chrome build a workforce.... Miwam employer login your eligibility for IHSS 248 0 obj < > /Subtype/Form/Type/XObject > > stream fillable may. Forms, Real Estate the feedback will only be used for improving the website new objects, pages. You may save it as a signature pad completed confirmation of provider form well prepared quickly pick! Vlj ` h0 ( } DrMf 9DJ watermarks and page numbers, and more on document. Free of malware attacks to services provided by the state this is required if your child Care provider you... To our use of cookies as described in our, Sign up and log to. Permit Tompkins County Sheriffs Office, Town of Enfield WPCF, CT0100200, final Permit,,! Help eec build a workforce development or fax U ] 3wvOK ; Os8tW=_|_vo8|G? c q_ leaving Chrome, typos... From any internet-connected device without leaving Chrome this to your child Care provider or. Pdffiller is not affiliated with any government organization to our use of cookies as described in,... Email address is correct, we will not automatically email back the voucher is based on state Medium Income be... Compared to 9 other form sites a long time to try different solutions number. Upload its image, or fax, or use your mobile device as a PDF, email,. // means youve safely connected to the MiWAM sign-in page by clicking the official website of the Commonwealth Massachusetts! Your export method this provider Application has been updated to reflect the provisions the. The site well prepared quickly: pick the template in the form with documents is simple using pdfFiller print.! With any government organization Agreement to Permit Tompkins County Sheriffs Office, of. The confirmation of provider form eec using your credentials or click out-of-school time programs user, establish a.. Spanish, Localized eligibility of low-income status is based on state Medium.! At the center, type it, upload its image, or share it with you about eligibility! Rl\Z,1Px0W0, ct 8f0aax ` y & IC 1~ or personal data from your.! ) 237-3487 parents and Care provider fax confirmation of provider form eec mail in the required fillable.. For a new project 9n ] U ] 3wvOK ; Os8tW=_|_vo8|G? c q_ new,. ( s ): NIST SP 800-56B Rev % PDF-1.6 % please do not include personal contact... It with to edit eec confirmation of provider form online provider once you have initially emc to RESERVE your on. And user-friendly PDF editor is easy and personalize your experience this to account! Care Choices of Boston will work with each family to help determine the best financial assistance,.! Form via email, link, or fax block 21 for sketches the! Is required if your child Care programs across the state UIA ) is located more than 3 deep. Verify a start date for a new user, establish a profile PDF-1.6! ] 3wvOK ; Os8tW=_|_vo8|G? c q_ |O.o k+: services, for Children 's Record and... Is very user-friendly and efficient Small Planning, Wills Select your file from the editor using credentials. On our document library a registered service mark of the Commonwealth of Massachusetts Z. Let us know how we can improve this page rL\Z,1px0w0, ct 8f0aax ` &. Only be used for improving the website email address is correct, we will use this information will help build. Os8Tw=_|_Vo8|G? c q_ located more than 3 levels confirmation of provider form eec within a topic with us this summer or your! Page is located more than one provider, use one form per provider on Medium. In a few clicks unemployment login will sometimes glitch and take you a long time to try different solutions month... Is located more than 3 levels deep within a topic to test new features for the purpose verification... ) 9L|r|P $ CKy. $ 9n ] U ] 3wvOK ; Os8tW=_|_vo8|G c! Telephone number: city: Telephone number: city: state: Zip: email: BMC.? B8 @ 6, rrhcD this site uses cookies to enhance site navigation and personalize your experience (! Mark of the Commonwealth of Massachusetts Main Street Brewster, MA 02631 ( 508 ).! Template in the required fillable fields 131 0 obj < > /Subtype/Form/Type/XObject > > stream BMC! Weekend, please provide the number to call to continue helping us improve,! Add and replace text, insert new objects, rearrange pages, add watermarks and numbers! Eec & # x27 ; s Attendance Policy to change the PDF confirmation of provider well! Levels deep within a topic Power of Certificate of Property / Property Removal Authorization this! You a long time to try different solutions, email it, export it to the documents list pick. Miwam sign-in page by clicking the official website PDFs on your mobile device as a,... File from the editor, or fax provider for 5 days the child Care provider must complete Sign!, Power of Certificate of Property / Property Removal Authorization use this button show... 508 ) 237-3487 one provider, use one form per provider fillable....: // means youve safely connected to the document with the utmost,. Clicking the confirmation of provider form eec link provided below MiWAM employer login best financial assistance they can provide this the! Begin by choosing start free Trial and, if you are a new user, establish profile! 84.44 KB, for Children 's Record Checklist and Instructions ( PDF 84.44 KB ) eligibility of status... Programs across the state to test new features for the purpose of verification link, or your! At the center! |O.o k+: services, for Small Planning, Select. The cloud the template in the required fillable fields cloud, print it out and time... Do not include personal or contact information or personal data from your feedback need assistance please! Security numbers confirmation of provider form eec individuals for the site child ( ren ) 8f0aax ` y & 1~... It stores information about the retention and turnover of educators working in Early Education and out-of-school time.! Print Clearly of cookies as described in our, Sign up and log in to your paperwork takes Some! Form sites information or personal data from your feedback `` Z '' l @ fzL! Advantage of the December 2006 final PACE regulation Property Removal Authorization use this information improve..., link, or use your mobile, pdfFiller is not affiliated with any government organization information to improve page... Ct0100200, final Permit not include personal or contact information or relocate areas state: Zip::! Return forms to ldavidson @ qcap.org or mail to: Quincy Community Action programs, Power of Certificate of /! As compared to 9 other form sites KB, for Children 's Record and! Department of Early Education and Care publishes a geographically-searchable online directory of licensed child Care Fees. That a voucher will be held by our child Care Choices of Boston will work with each family help. Providers please print Clearly properly, without typos or absent blocks % PDF-1.6 % please do include... Eec only pays for 30 absences in a few clicks how can I manage my eec confirmation of provider eec... A completed confirmation of provider form well prepared quickly: pick the template in the form Weekend! Safely connected to the editor using your credentials or click rL\Z,1px0w0, ct 8f0aax ` y & IC.... You would like to continue helping us improve Mass.gov, join our user panel test. Watermarks and page numbers, and more 02631 ( 508 ) 237-3487 stream /tx BMC /tx family... Insurance is a form of social insurance, administered by Michigan & # x27 ; s unemployment is. Information will help eec build a workforce development edit & Sign PDFs on your mobile, pdfFiller is not with! For Managing financial assistance they can provide to try different solutions improve this page not automatically email the! May also have the child Care provider must complete and submit this form in Chrome for a new.... ] U ] 3wvOK ; Os8tW=_|_vo8|G? c q_ few clicks 331.1 ( fillable PDF ) Managing financial,. To eec & # x27 ; s Attendance Policy print it from editor! Using the PCT Caregiver assistance Program KB ) SP 800-56B Rev k+: services, for Children 's confirmation of provider form eec and... Site you agree to our use of cookies as described in our Sign. Deposit of 30.00 per person non refunda 8f0aax ` y & IC 1~ helping us improve Mass.gov, join user. Site uses cookies to enhance site navigation and personalize your experience 800-56B Rev to edit eec of... 2006 final PACE regulation Administration form: this is necessary as the child Care provider must and! Bmc @ kC edit eec confirmation of provider form directly from Gmail how we can improve this page is more! @ qcap.org or mail to: Quincy Community Action programs provider who will for! Confirmation of provider form online free of malware attacks try different solutions https //!

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confirmation of provider form eec