QUESTIONS ABOUT FORMS?
If you have questions about the forms, please call (970) 498-7623.
For all CCAP Providers
- LCHS 4208 Sign In/Out
- 4211 Manual Billing Form
- Note: Manual Claims can now be submitted directly into ATS. Instructions
- Form W-9
- ACH Direct Deposit Enrollment Form
- LCHS 4223 Agreement to Pay Overdue Parental Fees
- LCHS 4224 Unpaid Parental Fee Report
