Free Child Care Assistance Application Forms and Templates

57
total templates

What Is Child Care Assistance? 

Child Care Assistance is a state-administered program available to the children of low-income parents who are absent for a portion of the day due to employment, vocational training, or education. It is also available for a limited period of time to the children of parents seeking employment – this program pays for up to 240 hours of child care per year so that the child’s caregivers can look for work. 

When applying for Child Care Assistance, you need to fill out a Child Care Assistance Application. It usually asks questions about your income and expenses, your current employer and school, your children and their needs.

Child Care Assistance Application Forms by State

Child Care Assistance Application forms vary from state to state, so you need to find out whether your state accepts completed applications by mail (Minnesota, Louisiana) or requires each applicant to visit a local human services office to apply (Texas, New York).

Alabama Hawaii Massachusetts (call Mass 211 to apply) New Mexico South Dakota
Alaska Idaho Michigan New York Tennessee
Arizona Illinois Minnesota North Carolina (contact your County Child Care Contact) Texas (apply at a Workforce Solutions Office)
Arkansas Indiana Mississippi North Dakota Utah
California (apply via child care R&R agency) Iowa Missouri Ohio Vermont
Colorado Kansas Montana Oklahoma Virginia
Connecticut Kentucky Nebraska (contact ACCESSNebraska at (800) 383-4278) Oregon Washington
Delaware Louisiana Nevada Pennsylvania West Virginia
Florida Maine New Hampshire Rhode Island Wisconsin
Georgia Maryland New Jersey South Carolina Wyoming

If you already receive assistance, you will have to fill out a Child Care Redetermination Form to be found eligible again y. 

How to Get Child Care Assistance? 

These are the general eligibility requirements for the family to qualify for Child Care Financial Assistance:

  • Income requirement – different in each state and based on family size and gross income;
  • Caregivers of the child work a minimum amount of hours (20-40) per week at a minimum wage, seek employment, attend classes or school;
  • Parents cooperate with the human services office to enforce child support for all the children in the family;
  • You have a child care provider – a licensed child care center, child development home, or an individual who cares for your children in your own residence. It is possible to choose a relative or neighbor – as long as this person is approved by the human services office in order to receive payments from the Child Care Assistance program;
  • You pay a certain amount of fee each month – some families with very low incomes are exempt from paying while others pay between $10 and several hundred dollars monthly.

What Do I Do if I Can't Afford Child Care Assistance? 

If you cannot afford to pay for the cost of child care, you need to find alternative options – see them below:

  • Apply for Head Start and Early Head Start programs - they provide child care and development services to children from birth to age five if they come from low-income families;
  • Consider obtaining military assistance or obtaining a military family discount from your child care provider;
  • Find a nanny share or a childcare co-op – a nanny or a group of parents who watch kids of several families together;
  • Qualify for Child and Dependent Care Tax Credit by completing IRS Form 2441 and receive credit in the form of a percentage of what you have already paid for child care.

Related Topics:

Documents

57

Formulario DHS/CC:1 "Solicitud De Elegibilidad Para Servicios De Cuidado Infantil Y Educacion Temprana" - New Jersey (Spanish)

Rate (4.6 / 5) 26 votes
Size: 445 KB
5 pages

Form DHS/CC:1 "Child Care and Early Education Service Eligibility Application" - New Jersey

Rate (4.5 / 5) 20 votes
Size: 72 KB
5 pages

Form ECE-CC-1 "Application for Child Care Services" - West Virginia

Rate (4.8 / 5) 22 votes
Size: 124 KB
7 pages

Form 60 "Application for Child Care Services" - Georgia (United States)

Rate (4.4 / 5) 19 votes
Size: 296 KB
2 pages

Form PA-77 "Intent to Apply for Ktap, Medicaid, State Supplementation, and/Or Child Care Assistance" - Kentucky

Rate (4.4 / 5) 31 votes
Size: 120 KB
5 pages

Formulario PA-77 "Intencion De Presentar Solicitud Para Ktap, Medicaid, Suplementacion Estatal Y/O Ayuda Para Cuidados Infantiles" - Kentucky (Spanish)

Rate (4.5 / 5) 16 votes
Size: 122 KB
5 pages

Form DHS911 "Application for Child Care Services" - Hawaii

Rate (4.5 / 5) 20 votes
Size: 93 KB
2 pages

Form DPHHS-HCS/CC-010 "Best Beginnings Child Care Scholarship Application" - Montana

Rate (4.7 / 5) 7 votes
Size: 1 MB
4 pages

Formulario CC-192 "Programa De Subsidio Para El Cuidado Infantil De Nj Anexo a La Solicitud" - New Jersey (Spanish)

Rate (4.4 / 5) 17 votes
Size: 154 KB
1 page

Form CC-192 "Nj Child Care Subsidy Program Application Addendum" - New Jersey

Rate (4.3 / 5) 30 votes
Size: 150 KB
1 page

Form SFN598 "Child Care Assistance Program Application" - North Dakota

Rate (4.5 / 5) 12 votes
Size: 2 MB
7 pages

Form CY868 "Pennsylvania Application for Subsidized Child Care" - Pennsylvania

Rate (4.3 / 5) 14 votes
Size: 1 MB
12 pages

Form DSS-CC-950 "Child Care Services Assistance Application" - South Dakota

Rate (4.4 / 5) 35 votes
Size: 182 KB
9 pages

Form DHR-CMA-1973 "Child Care Assistance Application" - Alabama

Rate (4.6 / 5) 12 votes
Size: 113 KB
2 pages

Form CF-FSP5241 "Child Care Application for Enrollment in Specialized Child Care Facilities for Mildly Ill Children" - Florida

Rate (4.8 / 5) 13 votes
Size: 102 KB
2 pages

Form CF-FSP5219 "Child Care Application for Enrollment" - Florida

Rate (4.3 / 5) 22 votes
Size: 103 KB
2 pages

Form HW0217 "Application for Child Care Assistance" - Idaho

Rate (4.6 / 5) 27 votes
Size: 172 KB
6 pages

Form OCFS-5042 "Application for the Expansion of the Child Care Assistance Program" - New York

Rate (4.4 / 5) 9 votes
Size: 1 MB
1 page

Form OCFS-6025 "Application for Child Care Assistance" - New York

Rate (4.3 / 5) 11 votes
Size: 1 MB
6 pages

Form DHS7476 "Employment Related Day Care (Erdc) and Supplemental Nutrition Assistance Program (Snap) Application" - Oregon

Rate (4.9 / 5) 7 votes
Size: 391 KB
7 pages

Form HS-3408 "Application for Child Care Payment Assistance/Smart Steps" - Tennessee

Rate (4.4 / 5) 12 votes
Size: 1 MB
6 pages

Form DCF-F-2835 "Wisconsin Shares Child Care Registration" - Wisconsin

Rate (4.3 / 5) 8 votes
Size: 20 KB
1 page

Form CCA-0001A "Application for Child Care Assistance"

Rate (4.6 / 5) 16 votes
Size: 2 MB
8 pages

Formulario ES-3100S "Solicitud De Beneficios" - Kansas (Spanish)

Rate (4.3 / 5) 30 votes
Size: 6 MB
28 pages

Form JFS01138 "Application for Child Care Benefits" - Ohio

Rate (4.7 / 5) 27 votes
Size: 1 MB
12 pages

DSS Form 27103 "Non-custodial Parent's Application for Child Support Services" - South Carolina

Rate (4.4 / 5) 36 votes
Size: 29 KB
5 pages

Formulario DFS100CC "Solicitud De Asistencia De Cuidado Infantil" - Wyoming (Spanish)

Rate (4.5 / 5) 21 votes
Size: 1 MB
17 pages

Form DFS100CC "Wyoming Application for Child Care Assistance" - Wyoming

Rate (4.6 / 5) 12 votes
Size: 1 MB
18 pages

DSS Form 2700-1 "Custodial Parent's Application for Child Support Services" - South Carolina

Rate (4.3 / 5) 51 votes
Size: 46 KB
10 pages

Formulario HS-3408SP "Solicitud Para Asistencia De Pago De Cuidado Infantil/Smart Steps" - Tennessee (Spanish)

Rate (4.5 / 5) 13 votes
Size: 1 MB
6 pages

Formulario DCF-F-2835-S "Inscripcion Para El Cuidado Infantil Wisconsin Shares" - Wisconsin (Spanish)

Rate (4.4 / 5) 13 votes
Size: 265 KB
2 pages

Form 2151-WC "Application for Child Care Assistance" - Nevada

Rate (4.7 / 5) 110 votes
Size: 381 KB
7 pages

Formulario DHR-CMA-1973(SP) "Aplicacion Para Asistencia De Cuidado De Ninos" - Alabama (Spanish)

Rate (4.7 / 5) 9 votes
Size: 121 KB
2 pages

Form 470-3624 "Child Care Assistance Application" - Iowa

Rate (4.7 / 5) 12 votes
Size: 77 KB
7 pages

Form DHS-3550-ENG "Minnesota Child Care Assistance Program Application" - Minnesota

Rate (4.4 / 5) 12 votes
Size: 239 KB
27 pages

Form MO886-2845 "Child Care Application" - Missouri

Rate (4.6 / 5) 21 votes
Size: 1 MB
3 pages

Formulario 2151-WCS "Solicitud De Asistencia De Cuidado De Ninos" - Nevada (Spanish)

Rate (4.3 / 5) 31 votes
Size: 348 KB
7 pages

Form IL444-3455I "Child Care Application" - Illinois

Rate (4.8 / 5) 69 votes
Size: 2 MB
17 pages

Form DHS-5223D-ENG "Combined Application - Child Care Addendum" - Minnesota

Rate (4.5 / 5) 17 votes
Size: 211 KB
15 pages

Formulario JFS01138-SPA "Applicacion Para Los Beneficios De Cuidados Para Ninos" - Ohio (Spanish)

Rate (4.6 / 5) 18 votes
Size: 449 KB
12 pages