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 ---My program/center was closedMy CCAA machine didn't work 2 ---My program/center was closedMy CCAA machine didn't work 3 ---My program/center was closedMy CCAA machine didn't work 4 ---My program/center was closedMy CCAA machine didn't work 5 ---My program/center was closedMy CCAA machine didn't work 6 ---My program/center was closedMy CCAA machine didn't work 7 ---My program/center was closedMy CCAA machine didn't work 8 ---My program/center was closedMy CCAA machine didn't work 9 ---My program/center was closedMy CCAA machine didn't work 10 ---My program/center was closedMy CCAA machine didn't work 11 ---My program/center was closedMy CCAA machine didn't work 12 ---My program/center was closedMy CCAA machine didn't work 13 ---My program/center was closedMy CCAA machine didn't work 14 ---My program/center was closedMy CCAA machine didn't work 15 ---My program/center was closedMy CCAA machine didn't work 16 ---My program/center was closedMy CCAA machine didn't work 17 ---My program/center was closedMy CCAA machine didn't work 18 ---My program/center was closedMy CCAA machine didn't work 19 ---My program/center was closedMy CCAA machine didn't work 20 ---My program/center was closedMy CCAA machine didn't work 21 ---My program/center was closedMy CCAA machine didn't work 22 ---My program/center was closedMy CCAA machine didn't work 23 ---My program/center was closedMy CCAA machine didn't work 24 ---My program/center was closedMy CCAA machine didn't work 25 ---My program/center was closedMy CCAA machine didn't work 26 ---My program/center was closedMy CCAA machine didn't work 27 ---My program/center was closedMy CCAA machine didn't work 28 ---My program/center was closedMy CCAA machine didn't work 29 ---My program/center was closedMy CCAA machine didn't work 30 ---My program/center was closedMy CCAA machine didn't work 31 ---My program/center was closedMy CCAA machine didn't work
