Index - ChildCareGroup's Child Care Assistance Customer Portal

Provider Repayment

PLEASE NOTE: This page is for child care providers in the DALLAS CCA program.

If you are a child care provider in the DALLAS CCA Program, please complete the information below to send a secure payment.

Please correct the fields below before transaction can be made.

Your Mailing Address *

Payment *

Amount
USD Provider Recoupment - Dallas

Payment Method

First Name as it appears on card	Last Name as it appears on card
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State
Zip Code

Please correct the errors below before transaction can be made.

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