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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
for the current year.
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.
