Please specify which of the following reasons in the next section pertains to you and enter any relevant information and details.
Scholarship Number
If your concern is regarding scholarship(s), you must provide the scholarship number(s) if available. If entering multiple scholarship numbers, please use comma to separate.
Your answer
Payment concern (please specify not paid, underpaid or overpaid)
Your answer
Child No Longer in Care - still receiving payment
Your answer
Request a copy of my detail report (you must the include invoice number)
Your answer
Request an invoice to be emailed ( you must specify the service period(s))
Your answer
Request to change my payment address
Your answer
Did you receive my sign-in/out sheets for the Attendance Audit?
Your answer
How do I report voluntary closure day(s)
Your answer
Advance Payment - General Inquiry
Your answer
Advance Payment - True Up Inquiry
Your answer
Other:
Your answer
Requesting a Form?
The below forms can be found on the Money4ChildCare website. Please click on the link to download the form.
Please indicate the name of the form you would like to receive. All forms will be emailed to the address noted in the 'Provider's Email Address' field.
Choose
Change of Payment Address Form
Child No Longer in Care Form
Other:
Provide any additional details to better understand your concern
Your answer
Provider / Center Name *
Your answer
Provider's Phone Number: *
Your answer
Provider's Email Address: *
Your answer
FOR MSDE USE ONLY (Email Address)
Your answer
FOR MSDE USE ONLY (Open Text)
Your answer
Please allow us three business days to respond to your concern. Thank you for participating in the Child Care Scholarship Program!
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