1. (a) The eligibility agency shall, by written notice to the parent or caretaker, confirm the parent’s or caretaker’s voluntary withdrawal of a child from subsidized child care.
2. (b) The notice confirming voluntary withdrawal must be on a form provided by the Department.

3. (c) The written notice confirming voluntary withdrawal must include all of the following:

   1. (1) The decision.
   2. (2) The reason for the decision.
   3. (3) A citation, and brief explanation in simple, nontechnical language, of the applicable section of this chapter or other applicable law that was the basis for the decision.
   4. (4) The name, address and telephone number of the local legal services office where the parent or caretaker may obtain free legal representation.
   5. (5) The right of the parent or caretaker to appeal the decision and how to appeal as specified in § § 3042.152 and 3042.161 (relating to notice of right to appeal; and appealable actions).

Cross References

This section cited in 55 Pa. Code § 3042.87 (relating to voluntary request to terminate subsidized child care).