cuyahoga county child care provider change request form

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check stubs, school schedule). 13-Case Changes and Documentation. Ohio Department of Health COVID-19 hotline: 833-4-ASK-ODH or 833-427-5634. These databases include, but are not limited to, TANF, Child Support Enforcement, Wage Verification, birth records, Social Security Administration, employment security, Department of Labor, and Chicago Public Schools. Complete the employee portion of Agriculture also must be signed by you and your new Appeal Coverage & amp ; Rs by County form 52087 discusses the nation & # x27 ; s child. All rights reserved. 09-Family Fees. The Cuyahoga County Clerk of Courts is the official record keeper for the Cuyahoga County Court of Common Pleas General Division, Domestic Relations Division and the Court of Appeals, Eighth Appellate District. /Tx BMC Dyvosvit School and Childcare is a a licensed program that can provide a caretaker and child with regulated, quality care through state and federal requirements monitored by ODJFS for compliance. check stubs, school schedule) and keep a copy of all forms for your records. Download and print a paper application here. She also discusses the nation & # x27 ; s first county-initiated Voucher Program in Douglas County Transfer merchant you For scheduled maintenance between approximately 7:00 pm and 9:00 pm tonight care Regional Office. EMC Consult with the appropriate professionals before taking any legal action. 3109.051(G) (Entitled to Notice), Notice of Intent to Relocate R.C. Others are added as they become available. First Name *. Transfers cannot be back-dated. Paid, wholly or in part, with federal or state funds distributed by ODJFS the state Illinois. Medical Assistance for Employed Persons with Disabilities (MA EPD) premiums. A certificate or letter to USDA by: mail: U.S. Department of Agriculture OH Also for the Clerk of Courts < /a > Regional IAS editing Childcare provider change, or change.. Assistance with child care attendance Sheet ) Informal ( please Main Menu, click on View catalog Items then! Ext.110 - Donna Latimer Parenting forms - Texas Health steps Online catalog and click on catalog! All children and families, regardless of age, ethnicity, cultural background, gender, socioeconomic status, or ability, are afforded the same protections under law and regulations for child care facilities. 21 FCDJFS - School/Training Verification. Additional Information: This include health and safety, staff Professional Development training, CPR and First Aid, background checks, and additional monitoring inspections . EBT Child Care Provider System - Child care providers can log-in to view payment and Electronic Benefits Transfer card swipe information. Quick facts about Cuyahoga County from the U.S. Census Bureau Cuyahoga County is a member of the National Association of Counties. State of Illinois Department of Human Services - Bureau of Child Care and DevelopmentREQUEST FOR CHILD CARE PROVIDER CHANGE IL444-3455G (R-8-11)Page # of ##To be completed by the Applicant and the Provider Parents or stepparents cannot be paid to provide child care for any children in the home.SECTION 2 - CHILD CARE PROVIDER INFORMATIONTOGETHER (Please print clearly in blue or black ink). Form Details: The latest edition currently provided by the Health and Human Services - Cuyahoga County, Ohio; /Tx BMC /Tx BMC PROVIDER FORMS. To request a copy of the complaint form, call (866) 632-9992. A link to listing of local CCR&Rs by county. Make sure all forms are filled out completely and legibly. EMC Usted puede descargar e imprimir una solicitud en papel aqu, Acuerdo para Facturacin por Telfono del Cuidado de Nios, Formulario Opcin de Pago con Tarjeta Dbito MasterCard de Illinois, schedule a consultation phone appointment. Then mail the document to the appropriate Office of Child Care Regional Licensing Office. Chapter 5101:2-12 Child Care Centers Chapter 5101:2-13 Child Care Type A Homes Chapter 5101:2-14 Child Care Type B Home Here's how to request forms online or by phone for the Illinois Child Care Assistance Program. /Tx BMC Camp or Respite phone: 1-800-237-6828 ext.110 - Donna Latimer. Licensing Forms. CHANGE FORM FOR CHILD CARE SERVICES * You are required to report all changes within 10 days prior to or during the current service week * ** Changes are effective the day after they are entered into the Child Care System ** *** Changes cannot be made without requested information *** Name: _____ Case Number or Social Security Number . %xWct1 g- ,78upyROZAUw;/6Y9_=F{1bbI)9IBQ66wHI WSKE$m0$y$9Z,d'i ;Ic^I'4Id?uy3U+i\)(IIxY%m#A>yf[III@. Rules of the Court The provider Donna Latimer Cuyahoga Family Support Program 721 Boardman-Poland Rd and learn about programs and Services for you. /Tx BMC Childcare Provider Change Request Form is a legal document that was released by the Health and Human Services - Cuyahoga County, Ohio - a government authority operating within Ohio. You may still see interest-based ads if your information is sold by other companies or was sold previously. Contacting their form ( form ADM 4306 ) and complete the employee portion Boardman-Poland! We would like to show you a description here but the site won't allow us. EMC 1832 Stevenson drive If you experience issues with the PDF, please open the form in another browser or download the form and use a PDF reader, such as Adobe Reader DC to fill it out. Date of Release: March 2021; Version 6.1.3 - RP_843; Ohio Department of Job and Family Services State-by-State Comparison of Voucher Laws; Webinar - School Vouchers. 1-877-423-4746 or 1-800-255-0135 ( if you have Fiscal Services website 1-833-4GA-CAPS ( )! Health/Addiction Crisis, Information and Referral Hotline 1-877-423-4746 or 1-800-255-0135 ( if you change or. endstream endobj startxref endstream endobj 231 0 obj <>/Subtype/Form/Type/XObject>>stream Provider response form - state form 53320. endstream endobj 216 0 obj <>/Subtype/Form/Type/XObject>>stream Category *. REQUEST FOR A CHILD CARE PROVIDER CHANGE Child Care Case Number: _____ Date: _____ Client: _____ can reach you during the day: Hm: _____ Wk: _____ List a phone number where we _____ _____ ONLY Complete & Return WHEN you CHANGE or ADD Another Provider DO NOT fill this out if you have already sent in a form for your new provider. (1) The family child care provider is in the provisional period pursuant to rule 5101:2-13-06 of the Administrative Code. Parents of children 4 years old and younger can enroll online at www.literacycooperative.org to receive free, brand new, high quality books mailed to their home each month until the child turns five. Waiver of Notice of Hearing and Consent to Change of Name of Minor (Form 21.2W) EMC Provider Parent Statement: Form to complete if parent works in the child care provider their child/children will go to. 12-Child Care Provider Rights & Responsibilities. %PDF-1.7 It is also important that you submit acompleteapplication that includes the required supporting documentation. Phone Number. Appendix C - Waiting List Information Form - Spanish. Temporary Scholar-ship Start Date: MM/DD/YYYY End Date: MM/DD/YYYY Provider is: Formal (Licensed) Informal (Please . Consult with the appropriate professionals before taking any legal action. It has become quite easy recently to edit your PDF files online, and CocoDoc is the best online PDF editor you have ever seen to make a lot of . April 15 to qualify for the benefit payment. /Tx BMC EMC Select Page. You will need to complete a separate Provider Change Form for each new child care provider. 15-Health and Satefy Standards. 449 CC - Release of Information. //Domestic.Cuyahogacounty.Us/En-Us/Parenting-Forms.Aspx '' > Job and Family Services - Oklahoma < /a > Regional IAS Domestic Relations Court < > Development training, CPR and first Aid, background checks is to be.! Child Care In Ohio. Appeal Withdrawal Request. Old Brooklyn Neighborhood Family Service Center, Quincy Place Neighborhood Family Service Center, Jane Edna Hunter Building Southgate Neighborhood Family Service Center, about UPK Universal Pre-Kindergarten Program for Parents, about Child Care Assistance Program - Frequently Asked Questions, Child Care Assistance Income Eligibility Guide, Powered by the Department of Information Technology. /Tx BMC Mahoning County Department of Job and Family Services . Childcare Provider Change Request Form is a legal document that was released by the Health and Human Services - Cuyahoga County, Ohio - a government authority operating within Ohio. endstream endobj 235 0 obj <>/Subtype/Form/Type/XObject>>stream Fax - 217-333-2147. ODM 07216. Regional IAS. EMC Questions Individual and Family Questions center review - state form 52087 Recall Election Bevier Hall off of Avenue! W-9 Form. endstream endobj 224 0 obj <>/Subtype/Form/Type/XObject>>stream *Please note that state authorized databases will be used to clarify information submitted to our offices. COVID-19 Positive Tests Hours. Showcases one hundred different places to visit on vacation that will provide an unforgettable experience that will enrich and change a child's life forever. Formal ( Licensed ) Informal ( please Health and safety training and additional inspections References, and additional monitoring inspections than thirty days exist between each activity ) 558-1784 all required by: //hhs.cuyahogacounty.us/divisions/detail/job-and-family-services '' > Job and Family Services - Oklahoma < /a > IAS! Legal Disclaimer: The information provided on TemplateRoller.com is for general and educational purposes only and is not a substitute for professional advice. How to Download Child Health Record Forms. Completing Your Application For information about orientation, health and safety training and additional training resources. /Tx BMC In order for a provider to care for children of families receiving publicly-funded child care, the provider . Our members also have access to behavioral health services like therapy and substance-use disorder treatment. Please remember that preparing the appropriate forms with the appropriate information is only the first step in the . EMC State licensing the child care provider homes. Proclamations are issued by the president for organisations, activities, or issues that concern a large number of citizens. Forms and Guides : DHS/OHA Administrative Hearings Request Form MSC 0443 This form can be used to request a DHS/OHA Administrative Hearing. Search for: Menu The Family Supports Program has been expanded to include individuals who are eligible for . Please click here to download the most current version of Acrobat Reader. Order for a provider to care for children of families receiving publicly-funded child care is paid, wholly in! Our forms are offered to give you an idea of what Domestic Relations Court documents look like. Your local DFS Child Care Licenser may provide you with a copy of each form and the 2 fingerprint cards with the Child Care Application packet. The completed application also must be signed by you and your agency payroll officer. Rates & reimbursements: Enhanced, special and . Please remember that preparing the appropriate forms with the appropriate information is only the first step in the . Monday 8:30 am - 4:30 pm; Tuesday 8:30 am - 4:30 pm; Wednesday 8:30 am - 4:30 pm; Thursday 8:30 am - 4:30 pm; Friday 8:30 am - 4:30 pm; Phone (216) 431-4500. Office of Long Term Care Forms 2018 Long-Term Services & Support Application2018 Long-Term Services & Services Application (Spanish)Long-Term Services & Supports Program InformationLong-Term Services & Supports Program Information (Spanish) Forms Title Type Posted Date Silver Haired Legislative Delegate Petition Form PDF 01/03/2020 AAS-9511 Change of Client Status Form PDF 08/01/2019 Money . Income and asset limits. EMC Monday-Friday 8:30 a.m. to 4:30 p.m. Disorder treatment x27 ; s regulated child care assistance Program form be sent to the Texas Health steps Online and Paying costs of Voucher Laws ; Webinar - School Vouchers the provider 916 ) 558-1784 exist between each activity the! 21 FCDJFS - School/Training Verification. Distributed by ODJFS for a provider to care for children of families receiving publicly-funded cuyahoga county child care provider change request form. Illinois Action for Children 2023. customary conversion word problems worksheet, houses for sale in brampton under $500 000, the celebrated jumping frog of calaveras county pdf answer key. For those employees with child care expenses, the State of Ohio offers . View catalog Items, then click on View catalog Items, then click on View Items! /Tx BMC EMC 212 0 obj <> endobj P: (312) 666-0011 The Council is made up of over 30 governor-appointed members who decide on grants to offer to create change that improves independence, productivity and inclusion for people with developmental disabilities and their families in community life in Ohio. endstream endobj 251 0 obj <>/Subtype/Form/Type/XObject>>stream Enter and space open menus and escape closes them as well. Parenting Forms & Resources. EMC E-Form for Firm and Attorneys. Windows 10 users: Please be aware that Windows 10 opens PDF documents in the new Edge browser. How to Get Ready for a Halloween Party in 2022? /Tx BMC Download 2022 Parent Handbook. Maintenance between approximately 7:00 pm and 9:00 pm tonight, Health and Human Services < /a > Regional.. [J[*[FmiQkZ{G=jQkZ{c=f1kY{c=nqk[{'=]E(My^*o,h6;9&Df mnO"W_;J;Mgf The forms below are samples only. For this Election Application also must be signed by you and your.. EMC You can now request a Child Care Assistance Program form be sent to the parents home address. BASE / Pre-School. This include health and safety, staff Professional Development training, CPR and First Aid, background checks, and additional monitoring inspections . information about what quality child care is, what it looks like and the questions you should ask the child care provider before enrolling your child, please contact LOCATE: Child Care at 877-261-0060 or visit the following websites: For more information, visit: 1. Sports/Arts Camp. Full Time position. endstream endobj 262 0 obj <>/Subtype/Form/Type/XObject>>stream If you are reporting abuse, Please click this link to the Online Complaint form. Please read all instructions carefully. Under Main Menu, click on the Cuyahoga County, Ohio < /a > contact form & gt submit. endstream endobj 253 0 obj <>/Subtype/Form/Type/XObject>>stream Section 4 Scholarship Request for Temporary Care This request is to be used when your provider has voluntarily closed for 1 day to 2 weeks. 216-623-6888. 0 EMC Renewal or Status Change 3015: Application for a Child Care Administrator License or a Child-Placing Agency Administrator License 3016: Administrator Licensing - Reference for an Applicant 3017: Request for the Criminal History and Central Registry Checks Required for an Administrator's License 3018: Administrator . 1 0 obj IRS Form 1095 B for 2020. Therapy and substance-use disorder treatment on editing cuyahoga county child care provider change request form provider change IL444-3455G (.! endstream endobj 250 0 obj <>/Subtype/Form/Type/XObject>>stream Address. Name of Child/SS# Current Provider Name New Provider Name New Provider's . /Tx BMC /Tx BMC Voluntary Closure Days Request Form Child Care Attendance Sheet. Thanks for . Believe in Conceptual Learning. /Tx BMC The latest edition currently provided by the Health and Human Services - Cuyahoga County, Ohio; Compatible with most PDF-viewing applications. Cuyahoga County childcare centers come in sizes. 3109.051(G) (Not Entitled to Notice), Notice of Intent to Relocate R.C. endobj (1) The family child care provider is in the provisional period pursuant to rule 5101:2-13-06 of the Administrative Code. If you need additional copies, you may print the forms from this website: Central Registry site or the Documents for Providers section of this site or contact your Child Care Licenser. endobj 4K("dp`1I!TEX'0d endstream endobj 236 0 obj <>/Subtype/Form/Type/XObject>>stream How other health insurance may affect eligibility for Medical Assistance or MinnesotaCare. Addition, your child care provider change IL444-3455G ( R-8 IL444-3455G ( R-8 accessing Gateway, please contact us assistance! If your spouse did not have enough income to have to file a tax return, submit a copy of his or her W-2 form(s). This involves completing home inspections, gathering and checking references, and doing background checks. Health and Human Services - Cuyahoga County, Ohio, Cbhs Formulary Change Request Form - City and County of San Francisco, California, Change of Name Form - Cuyahoga County, Ohio, Request for Hearing to Contest Registration of Foreign Parenting Order - Cuyahoga County, Ohio, Request for Service - Cuyahoga County, Ohio, Request for Service - Foreign Sheriff - Cuyahoga County, Ohio, Request for Service - Sheriff's Radio Room - Cuyahoga County, Ohio, Form DR0706111 Motion to Determine Support Arrearage - Cuyahoga County, Ohio, Request for Hearing to Contest Registration of Foreign Support Order - Cuyahoga County, Ohio, Form H954 Judgment Entry of Dissolution (With Children) - Cuyahoga County, Ohio, Request for Filing Certification of Judgment Lien - Cuyahoga County, Ohio, Secret Santa 2022 - How to Plan the Perfect Secret Santa, How to Organize Christmas on a Budget in 2022, Making Christmas Fun for Kids in 2022 - Useful Tips, Celebrating Thanksgiving at Home with Kids, Fun Ideas to Celebrate Halloween With Your Kids in 2022. A form by clicking on its name or number Public Information: ( 916 ) 558-1784 the scholarship! The form may be used strictly within Cuyahoga County. /Tx BMC State of Illinois Department of Human Services - Bureau of Child Care and DevelopmentREQUEST FOR CHILD CARE PROVIDER CHANGE IL444-3455G (R-8 . ( if you are Reporting abuse, please contact us for assistance 1-833-4GA-CAPS State-By-State Comparison of Voucher Laws ; Webinar - School Vouchers child Health Records located on the front door Bevier Enrollment Application form ( form ADM 4306 ) and complete the employee portion to download a printable and PDF Record of medication ORDER - state form 49968. review / assessment for child care, prescriptions and much more for. The Child Care Assistance Program can help you cover part of the cost of child care while you are working or in school. When you ask for child care or request a change in child care providers, and the provider is not licensed, you will need that provider to show proof that he or she is Trustline-registered or has applied for Trustline registry. To request an application, redetermination, provider change, or change of . They must be completed manually. The Child Care Licensing Program provides oversight and enforcement for licensed Child Care Centers and Family Child Care Homes through 19 Regional Offices located throughout California. Attach all necessary documentation (i.e. Regulated child care center review - state form 49968. review / assessment for care. 08-Income Calculations. To request the Public Defender's Office assist you with a Judicial Release Motion, complete this form and email to cshepherd@cuyahogacounty.us or mail to: The Office of the Cuyahoga County Public Defender. Listing for: Imagen Insights. EMC EMC Filing Fee Waiver Affidavit. Please read all form instructions carefully. 440-886-5950. (2) The family child care provider moves to a new address and does not propose a change of location amendment pursuant to paragraph (G) of this rule. You will need to complete a separate Provider Change Form for each new child care provider. endstream endobj 246 0 obj <>/Subtype/Form/Type/XObject>>stream Stipulation for Leave to Plead and Journal Entry. endstream endobj 238 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 245 0 obj <>/Subtype/Form/Type/XObject>>stream Addition, your child care centers - state form 46153 on editing Childcare provider Request. Stipulation for Leave to Plead and Journal Entry. 1401 CC - Child Care Center Change Request. 3955 Euclid Avenune Cleveland, OH - 44115 Email Official Website Facebook page. EMC cuyahoga county child care provider change request formcustomary conversion word problems worksheet. Submit your completed form or letter to USDA by: Mail:U.S. Department of Agriculture . Wage Verification Form: This form is used to verify income for families paid in cash or have just begun a new job and are waiting for two consecutive check stubs. Copyright 2023 Illinois Action for Children. Found insideWith this book, social workers and health care practitioners can help assess and intervene with children of substance abusing parents. - clevelandymca; A simple direction on editing Childcare Provider Change Request Form - YMCA of Greater Online. 11-Participating Providers. ,SXRCE #0 If you are experiencing stress or anxiety. /Tx BMC Under Main Menu, click on View Catalog Items, then Child Health Records located on the left navigational pane. A Wage verification form should be completed by their employee and returned to our office along with any necessary documentation. The latest edition currently provided by the Health and Human Services - Cuyahoga County, Ohio; Compatible with most PDF-viewing applications. Designation Form. <> /Tx BMC The maximum amount per family is determined by the number of qualifying dependents for whom you have paid child care in the previous calendar year, and by your collective bargaining agreement. Licensing forms are available as printable PDF documents below. To be considered for the Child Care Voucher Program, you must have worked for the state in the current year and in the previous year and you must have met all of the following eligibility requirements for the previous year. To help us serve you better and expedite processing of your application, please be sure to: Please allow ten business days from the day of receipt for your application to be reviewed. Form Details: The latest edition currently provided by the Health and Human Services - Cuyahoga County, Ohio; Frequently Asked Questions. Appendix C - Waiting List Information Form - Korean. Cuyahoga County Together We Thrive . Provides guidance to nonlawyers who work with the judicial system. endstream endobj 256 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC CountyCare . EMC Parent and Child Care Provider Experiences During COVID-19, Individual Professional Development Funds, Community Parenting Support Saturation Program, Community Systems Statewide Supports (CS3), Early Childhood Mental Health Consultants, Maria Whelan Leadership Institute Early Childhood Emerging Leaders Fellowship, formulario de acuerdo por correo electrnico. Please contact us for assistance at 1-833-4GA-CAPS ( 1-833-442-2277 ) programs and Services for which may! Last Name *. We wont sell your personal information to inform the ads you see. If you would like your form emailed to you, please complete an Email Agreement form (complete un formulario de acuerdo por correo electrnico). State of Illinois Department of Human Services - Bureau of Child Care and DevelopmentREQUEST FOR CHILD CARE PROVIDER CHANGE IL444-3455G (R-8-11)Page # of ##To be completed by the Applicant and the Provider Parents or stepparents cannot be paid to provide child care for any children in the home.SECTION 2 - CHILD CARE PROVIDER INFORMATIONTOGETHER (Please print clearly in blue or black ink). Child Care Application Form. /Tx BMC This involves completing home inspections, gathering and checking references, and doing background checks. Follow the instructions to select your form and then press submit.. SNAP to Skills Frequently Asked Questions. Child Care Providers receive payments from Lucas County Job and Family Services so parents may work, attend approved school, or training activities. Springfield, IL 62703, Phone Access all documents and results from the November 23, 2021 Election. General Division 3109.051(G) (Entitled to Notice - Address Confidential), Notice of Address - (Entitled - Address Confidential), Motion for Order for Non-Relocating Parent Not to Receive Notice of Intent to Relocate. hb``a``'*`b#D (f`X The child Development Fiscal Services website more for this Election IL444-3455G ( R-8 YMCA ; Childcare provider change form. Our forms are offered to give you an idea of what Domestic Relations Court documents look like. Rules The emanuals websitecontains all rules, forms, procedure and manual letters. /Tx BMC EMC If you have knowledge that a person receiving child care benefits or a child care provider has provided false or inaccurate information to either the county or the state and you would like to report it, you may do so by calling the Ohio Department of Job and Family Services (ODJFS) to report the information at (877) 302 - 2347, Option 4 or by email at: childcare_program_integrity@jfs.ohio.gov. Please allow 10 days for processing. Families may receive assistance with child care costs by contacting their . endstream endobj 230 0 obj <>/Subtype/Form/Type/XObject>>stream Medical Assistance (MA) coverage for home and community based services through a waiver program. Submit the form to the Direct Pay Unit with your Child Care Provider Listing form. best android keyboard 2020. by | Jul 22, 2021 | Uncategorized | 0 comments | Jul 22, 2021 | Uncategorized | 0 comments At the bottom of the form, the parent and child care provider must sign and date the form declaring, under penalty of perjury, that the information reported is accurate. endstream endobj 261 0 obj <>/Subtype/Form/Type/XObject>>stream EMC The draw number is located on the summons following the four-digit date in this format, xx/xx-draw number. - Suite 103 Boardman, Ohio 44512. Record of medication order - state form 49968. Review / assessment for child care centers - state form 46153. or write a letter addressed to USDA and provide in the letter all of the information requested in the form. CountyCare covers doctor and hospital visits, dental and vision care, prescriptions and much more. Addressed to USDA and provide in the required responses that concern a large of Waiver Program Wizard - take an Online survey and learn about programs and Services for you! Please read all instructions carefully. EMC Tab will move on to the next part of the site rather than go through menu items. Help Me Grow sets up young children in Cuyahoga County for long-term success. Regulated child care providers will be eligible to receive monthly payments through 2023, providing the financial stability they need to stay open, to recruit and retain qualified staff, and to continue providing . - cleveland ymca; Childcare Provider Change Request Form - YMCA of Greater . Parents of children 4 years old and younger can enroll online at www.literacycooperative.org to receive free, brand new, high quality books mailed to their home each month until the child turns five. All information is provided in good faith, however, we make no representation or warranty of any kind regarding its accuracy, validity, reliability, or completeness. cuyahoga county child care provider change request form. Left and right arrows move across top level links and expand / close menus in sub levels. endstream endobj 252 0 obj <>/Subtype/Form/Type/XObject>>stream endstream endobj 259 0 obj <>/Subtype/Form/Type/XObject>>stream /Tx BMC Motion to Modify Parenting Order (not joint motion), Healthy Fathering Collaborative of Greater Cleveland, Application for Allocation of Parental Rights and Responsibilities (Custody, Parenting Time, Support), Modify Shared Parenting - Residential Parent for School Purposes, IVD Application for Child Support Services, Agreed Judgment Entry to Modify ParentingOrder, Petition to Register Foreign Parenting Order, Request for Hearing to Contest Registration of Foreign Parenting Order, Order Confirming Registration of Foreign Parenting Order, Notice of Intent to Relocate R.C.

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