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CORTLAND COUNTY CHILD’S NAME DEPARTMENT OF SOCIAL SERVICES MONTH OF FOSTER PARENT DAYCARE SHEET CASE NUMBER DATES *REASON FOR DAYCARE TIME FROM TIME TO TOTAL HOURS $2.10 PER HOUR DAYCARE PROVIDER SIGNATURE *work, training, medical, etc TOTAL Please submit daycare sheets for reimbursement within 90 days of rendering the services or payment will not be made. Foster Parent Signature Supervisor Signature Caseworker Signature Director Signature