Attendance Form Provider Name License # Contact Email Phone Number Month: JanFebMarAprMayJunJulAugSeptOctNovDec Use the buttons below to report the days that your program had an emergency closure or your CCAA machine was not working. CCS staff will apply this information to all children enrolled in your program. Billing Period: 1 —Please choose an option—My program/center was closedMy CCAA machine didn't work2 —Please choose an option—My program/center was closedMy CCAA machine didn't work3 —Please choose an option—My program/center was closedMy CCAA machine didn't work4 —Please choose an option—My program/center was closedMy CCAA machine didn't work5 —Please choose an option—My program/center was closedMy CCAA machine didn't work6 —Please choose an option—My program/center was closedMy CCAA machine didn't work7 —Please choose an option—My program/center was closedMy CCAA machine didn't work8 —Please choose an option—My program/center was closedMy CCAA machine didn't work9 —Please choose an option—My program/center was closedMy CCAA machine didn't work10 —Please choose an option—My program/center was closedMy CCAA machine didn't work11 —Please choose an option—My program/center was closedMy CCAA machine didn't work12 —Please choose an option—My program/center was closedMy CCAA machine didn't work13 —Please choose an option—My program/center was closedMy CCAA machine didn't work14 —Please choose an option—My program/center was closedMy CCAA machine didn't work15 —Please choose an option—My program/center was closedMy CCAA machine didn't work16 —Please choose an option—My program/center was closedMy CCAA machine didn't work17 —Please choose an option—My program/center was closedMy CCAA machine didn't work18 —Please choose an option—My program/center was closedMy CCAA machine didn't work19 —Please choose an option—My program/center was closedMy CCAA machine didn't work20 —Please choose an option—My program/center was closedMy CCAA machine didn't work21 —Please choose an option—My program/center was closedMy CCAA machine didn't work22 —Please choose an option—My program/center was closedMy CCAA machine didn't work23 —Please choose an option—My program/center was closedMy CCAA machine didn't work24 —Please choose an option—My program/center was closedMy CCAA machine didn't work25 —Please choose an option—My program/center was closedMy CCAA machine didn't work26 —Please choose an option—My program/center was closedMy CCAA machine didn't work27 —Please choose an option—My program/center was closedMy CCAA machine didn't work28 —Please choose an option—My program/center was closedMy CCAA machine didn't work29 —Please choose an option—My program/center was closedMy CCAA machine didn't work30 —Please choose an option—My program/center was closedMy CCAA machine didn't work31 —Please choose an option—My program/center was closedMy CCAA machine didn't work