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TOOTRiS PITC Reimbursement Form
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1.
First Name
(Required.)
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2.
Last Name
(Required.)
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3.
California Community Child Care Licensing Number
(Required.)
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4.
Email Address
(Required.)
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5.
Phone Number
(Required.)
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6.
Which course did you complete?
(Required.)
English: September 15, 2025 - February 1, 2026
English: January 20, 2026 - May 31, 2026
English: May 4, 2026 - September 13, 2026
Spanish: September 14, 2026 - January 31, 2027
English: August 2025 - December 2025
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7.
Please check applicable:
(Required.)
I am seeking $225 for the PITC Reimbursement course.
I am a T4Kids Provider with a current signed contract. I am seeking $1,900 in costs for hiring an assistant during my homework hours and class time.
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8.
By checking below, you confirm the following under penalty of perjury:
(Required.)
I have logged into TOOTRiS and set up my profile to receive payments. This is the ONLY way to receive reimbursement.
I work in a licensed California Child Care setting. 20+ hours per week with children ages 0-36 months.
I have paid for the PITC course and can provide the receipt as indicated in #9 below.
I have completed the course and will upload the PITC Certificate of Completion as indicated in #10 below.
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9.
Please upload your receipt from the course.
(Required.)
Choose File
No file chosen
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10.
Please upload your PITC Certificate of Completion.
(Required.)
Choose File
No file chosen