The Stamford JCC - Childcare Expense Request

Parent(s) Name

Address

City

State

Zip Code

Best phone number during the day

Child #1 Name

Period Receipt Request for

Child #2 Name

Period Receipt Request for

Child #3 Name

Period Receipt Request for

Please select the format for your documentation (the document will include our Federal ID number)

A JCC letter with the total paid and list of individual payments and parent’s information. A JCC invoice statement receipt of your total invoice charges. A specific form that you need filled out which you have attached to this request. Please upload below and provide directions for completing.

Please upload form here

Please provide directions for completing

We ask that you allow several days for the Finance Department to process your request. Statements are prepared in the order in which they are received. During peak periods, there may be several requests in hand ahead of yours. Thank you for your understanding.

Childcare Expense Request

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