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Document Number: FIS-14921-E
Description: This form is completed by county, W-2 Agencies to report direct costs on their W-2, Child Care and Locally matched Child Care contracts with DWD. Shared costs should be reported on the Shared Cost Report, FIS-13951-E.
Comments: This form is a protected Excel spreadsheet enabled for form completion.
Content Contact: Sue Losen
Document Attachment: FIS-14921-E (Excel/48 KB)
***Should you require the necessary software to view the above attachment, please go to the DWD Viewers Download Page. Links to each specific vendor's site have been provided for you. Thank you.