DD Form 2606 Department of Defense Child Development Program Request for Care Record

What Is DD Form 2606?

DD Form 2606 or the Department of Defense Child Development Program Request for Care Record is a form used for applying for child care. The form is used for collecting applicant information for CDP (Child Development Programs) application and to participate in waiting lists for services provided by these programs.

The latest edition of the DD 2606 was released by the Department of Defense (DoD) in May 2014. The latest fillable version of the DD Form 2606 is available for digital filing and download below. Hard copies of the form can also be requested and completed at CDC centers, FCC or Youth Centers.

The information provided within the form may also be used by the Department for tracking, evaluating and reporting on the effectiveness of the program. When completed, the DD 2606 Form is returned to the appropriate child development program representative.

Most programs provide full-time care for children of active duty service members, DoD civilian employees paid by NAF or APF and DoD Contractors and Reserve members on active duty or during active duty training. See Department of Defense Instruction 6060.02, Child Development Programs for additional information on eligibility and authorization to participate in DoD-operated Child Development Programs.

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DEPARTMENT OF DEFENSE CHILD DEVELOPMENT PROGRAM
OMB No. 0704-0515
REQUEST FOR CARE RECORD
OMB approval expires
May 31, 2017
(Read Privacy Act Statement and Instructions on back before completing form.)
The public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive,
Alexandria, VA 22350-3100 (0704-0515). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection
of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE APPROPRIATE CHILD AND YOUTH PROGRAM
REPRESENTATIVE.
1. DATE OF REQUEST (YYYYMMDD)
2. EXPIRATION DATE (YYYYMMDD) (To be completed by Facility)
3. FAMILY INFORMATION
a. SPONSOR'S NAME (Last, First, Middle Initial)
b. SPOUSE'S NAME (Last, First, Middle Initial)
c. CHILD'S NAME (Last, First, Middle Initial)
d. CHILD'S DATE OF BIRTH (YYYYMMDD)
e. CHILD'S AGE
f. HOME ADDRESS (Street, City, State, Zip Code)
g. SPONSOR'S BRANCH OF SERVICE
h. DUTY ORGANIZATION
i. HOME TELEPHONE NUMBER (Include Area Code)
j. DUTY TELEPHONE NUMBER (Include Area Code)
k. SIBLING CARE
(2) DATE OF BIRTH
(2) DATE OF BIRTH
(1) NAME (Last, First, Middle Initial)
(1) NAME (Last, First, Middle Initial)
(YYYYMMDD)
(YYYYMMDD)
4. PROGRAM(S) DESIRED (X as applicable)
5. AGE GROUP (X one)
a. FULL-DAY CARE
d. FAMILY DAY CARE (FDC)
a. INFANTS (0 - 12 months)
b. PART-DAY CARE
e. PART-DAY ENRICHMENT
b. TODDLERS (13 - 35 months)
c. SCHOOL-AGE
f. PRE-SCHOOL
c. PRESCHOOL (3 - 5 years)
d. SCHOOL AGE (5+ years)
6. SPONSOR STATUS (X one)
a. SINGLE MILITARY
e. SINGLE DOD CIVILIAN
i. MILITARY/UNEMPLOYED SPOUSE
b. DUAL MILITARY
f. RETIRED MILITARY
j. MILITARY/OTHER THAN DOD SPOUSE
c. MILITARY/DOD SPOUSE
g. MILITARY RESERVE
k. OTHER (Specify)
d. DUAL DOD CIVILIANS
h. NATIONAL GUARD
7. PRESENT CHILD CARE ARRANGEMENTS (X as applicable)
a. FCC ON-INSTALLATION
d. CIVILIAN CDC
g. IN-HOME CARE
b. FCC OFF-INSTALLATION
e. MILITARY ALTERNATE CARE
h. NO PRESENT CARE
c. OTHER MILITARY CHILD
i. OTHER
f. NON-MILITARY ALTERNATE CARE
DEVELOPMENT CENTER (CDC)
(Specify)
8. GENERAL INFORMATION (X and complete as applicable)
a. IF CHILD IS NOT PRESENTLY IN CARE, IS EMPLOYMENT
c. IS CHILD ON OTHER MILITARY WAITING LIST?
YES
NO
YES
NO
OF SPOUSE IMPACTED? (If Yes, estimate average annual
(If Yes, name installation)
income lost)
b. HAS CHILD BEEN IDENTIFIED FOR SPECIAL NEEDS
d. CURRENT COST OF CARE PER WEEK
CARE?
(If child is currently in care)
9. ACCOMMODATION UPDATES/REVERIFICATION (For Office Use Only)
(1)
(2)
(3)
(4)
(5)
a. DATE CALLED
(YYYYMMDD)
b. DECLINED/
PLACED
c. COMMENTS/
INITIALS
d. PLACEMENT TIME
(In months)
DD FORM 2606, MAY 2014
PREVIOUS EDITION IS OBSOLETE.
Adobe Designer 9.0
DEPARTMENT OF DEFENSE CHILD DEVELOPMENT PROGRAM
OMB No. 0704-0515
REQUEST FOR CARE RECORD
OMB approval expires
May 31, 2017
(Read Privacy Act Statement and Instructions on back before completing form.)
The public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing the burden, to the Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, 4800 Mark Center Drive,
Alexandria, VA 22350-3100 (0704-0515). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection
of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO THE APPROPRIATE CHILD AND YOUTH PROGRAM
REPRESENTATIVE.
1. DATE OF REQUEST (YYYYMMDD)
2. EXPIRATION DATE (YYYYMMDD) (To be completed by Facility)
3. FAMILY INFORMATION
a. SPONSOR'S NAME (Last, First, Middle Initial)
b. SPOUSE'S NAME (Last, First, Middle Initial)
c. CHILD'S NAME (Last, First, Middle Initial)
d. CHILD'S DATE OF BIRTH (YYYYMMDD)
e. CHILD'S AGE
f. HOME ADDRESS (Street, City, State, Zip Code)
g. SPONSOR'S BRANCH OF SERVICE
h. DUTY ORGANIZATION
i. HOME TELEPHONE NUMBER (Include Area Code)
j. DUTY TELEPHONE NUMBER (Include Area Code)
k. SIBLING CARE
(2) DATE OF BIRTH
(2) DATE OF BIRTH
(1) NAME (Last, First, Middle Initial)
(1) NAME (Last, First, Middle Initial)
(YYYYMMDD)
(YYYYMMDD)
4. PROGRAM(S) DESIRED (X as applicable)
5. AGE GROUP (X one)
a. FULL-DAY CARE
d. FAMILY DAY CARE (FDC)
a. INFANTS (0 - 12 months)
b. PART-DAY CARE
e. PART-DAY ENRICHMENT
b. TODDLERS (13 - 35 months)
c. SCHOOL-AGE
f. PRE-SCHOOL
c. PRESCHOOL (3 - 5 years)
d. SCHOOL AGE (5+ years)
6. SPONSOR STATUS (X one)
a. SINGLE MILITARY
e. SINGLE DOD CIVILIAN
i. MILITARY/UNEMPLOYED SPOUSE
b. DUAL MILITARY
f. RETIRED MILITARY
j. MILITARY/OTHER THAN DOD SPOUSE
c. MILITARY/DOD SPOUSE
g. MILITARY RESERVE
k. OTHER (Specify)
d. DUAL DOD CIVILIANS
h. NATIONAL GUARD
7. PRESENT CHILD CARE ARRANGEMENTS (X as applicable)
a. FCC ON-INSTALLATION
d. CIVILIAN CDC
g. IN-HOME CARE
b. FCC OFF-INSTALLATION
e. MILITARY ALTERNATE CARE
h. NO PRESENT CARE
c. OTHER MILITARY CHILD
i. OTHER
f. NON-MILITARY ALTERNATE CARE
DEVELOPMENT CENTER (CDC)
(Specify)
8. GENERAL INFORMATION (X and complete as applicable)
a. IF CHILD IS NOT PRESENTLY IN CARE, IS EMPLOYMENT
c. IS CHILD ON OTHER MILITARY WAITING LIST?
YES
NO
YES
NO
OF SPOUSE IMPACTED? (If Yes, estimate average annual
(If Yes, name installation)
income lost)
b. HAS CHILD BEEN IDENTIFIED FOR SPECIAL NEEDS
d. CURRENT COST OF CARE PER WEEK
CARE?
(If child is currently in care)
9. ACCOMMODATION UPDATES/REVERIFICATION (For Office Use Only)
(1)
(2)
(3)
(4)
(5)
a. DATE CALLED
(YYYYMMDD)
b. DECLINED/
PLACED
c. COMMENTS/
INITIALS
d. PLACEMENT TIME
(In months)
DD FORM 2606, MAY 2014
PREVIOUS EDITION IS OBSOLETE.
Adobe Designer 9.0
PRIVACY ACT STATEMENT
AUTHORITY: 10 U.S.C. 3013, Secretary of the Army; 10 U.S.C. 5013, Secretary of the Navy; 10 U.S.C. 5041, Headquarters, Marine Corps; 10
U.S.C. 8013, Secretary of the Air Force; DoD Instruction 6060.02, Child Development Programs; Army Regulation 608-10, Child Development
Services; OPNAV Instruction 1700.9 series, Child and Youth Programs; Marine Corps Order P1710.30E, Children, Youth, and Teen Program
(CYTP); Air Force Instruction 34-248, Child Development Programs; and Air Force Instruction 34-249, Youth Programs, and 34-276, Family Child
Care.
PRINCIPAL PURPOSE(S): To collect applicant information for Child Development Programs and establish waiting lists for program services.
This information may also be used for statistical analysis, tracking, reporting, and evaluating program effectiveness. When completed, records are
covered by one of the appropriate SORNS:
Department of the Army: http://dpclo.defense.gov/privacy/SORNsIndex/tabid/5915/article/6160/a0608-10-cfsc.aspx;
Department of the Navy: http://dpclo.defense.gov/privacy/SORNsIndex/tabid/5915/article/6527/nm01754-3.aspx;
Department of the Air Force: http://dpclo.defense.gov/privacy/SORNsIndex/DODwideSORNArticleView/tabid/6797/Article/5793/f034-af-sva-c.aspx
ROUTINE USE(S): Department of the Army records may be disclosed to civilian health and welfare departments/agencies in emergencies.
Department of the Navy records may be disclosed to local, state and Federal officials involved in child care services, if required, in the
performance of their official duties relating to child abuse reporting and investigations. Department of the Air Force records may be disclosed to
civilian health and welfare departments/agencies in emergency situations.
DoD Blanket Routine Uses 1 (Law Enforcement), 4 (Congressional Inquiries), 6 (Required by International Agreement), 9 (Department of Justice
for Litigation), 12 (National Archives and Records Administration), and 15 (Data Breach Remediation) specifically apply to this system. Other DoD
Blanket Routine Uses found at http://dpclo.defense.gov/Privacy/SORNsIndex/BlanketRoutineUses.aspx may apply to these records. Any release
under a blanket routine use will be compatible with the purpose of the collection.
DISCLOSURE: Voluntary; however, if you fail to furnish the needed information, you might not be added to a waiting list or notified when there is
space for your child.
INSTRUCTIONS
This form is to be completed by authorized patrons (per Department of Defense Instruction 6060.02, Child Development Programs) and serves as
the Official Request for Care for use of Department of Defense operated Child Development Programs. Providing this information is voluntary, but
failure to complete the form may result in a denial of care.
1. Provide the date the request is completed.
2. To be completed by facility where care is requested. This form expires one year from the initial date of request.
3. Family Information.
3.a. Provide the sponsor’s last name, first name and middle initial.
3.b. Provide the spouse’s last name, first name and middle initial (when applicable).
3.c. Provide the last name, first name and middle initial of the child for whom care is being requested.
3.d. Provide the date of birth of the child for whom care is being requested.
3.e. Provide the age of the child for whom care is being requested at the time of application.
3.f. Provide the residential address of the child for whom care is being requested.
3.g. Provide the sponsor’s branch of service. For DoD civilians, provide the service or agency of employment. If this is not applicable, enter NA.
3.h. Provide the organization to which the sponsor is employed. If this is not applicable, enter NA.
3.i. Provide the home telephone number of the sponsor.
3.j. Provide the work telephone number of the sponsor.
3.k. If the family is requesting care for additional children, enter their last name, first name, middle initial and date of birth, and complete a
separate form for each child when applicable.
4. Program(s) Desired.
- Place an “X” to indicate the family's desire for where the child’s need for care may be accommodated.
5. Age Group.
- Place an “X” to indicate the age group that the child falls on the date of application.
6. Sponsor Status.
- Place an “X” to indicate the status of the sponsor on the date of application.
- For “Other”, specify the sponsor’s status.
7. Present Child Care Arrangements.
- Place an “X” to indicate the present arrangement for child care of the child for whom care is being requested.
- For “Other”, specify the sponsor’s status.
8. General Information.
8.a. Indicate “Yes” or “No” if the lack of child care is impacting the ability of the spouse (where applicable) to find employment.
8.b. Indicate “Yes” or “No” if the child has been identified for special needs care.
8.c. Indicate “Yes” or “No” if the child is on other military waiting lists for child care. If, “yes”, provide the name of the installation where the child
is on a waiting list.
8.d. If the child is currently accommodated in non-DoD child care, indicate the weekly cost for care.
9. To be completed by the facility only.
DD FORM 2606 (BACK), MAY 2014

Download DD Form 2606 Department of Defense Child Development Program Request for Care Record

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DD Form 2606 Instructions

The DD 2606 is completed by the child's official supervisor or patron. The completion of the form is not obligatory but if the form is not filled out properly there is a possibility of the applicant being denied daycare and other services.

  1. Enter the date of filing in Box 1. The expiration date is provided in Box 2 by the facility where the care is requested.
  2. All boxes in Block 3 are for providing family Information: the sponsor's name and middle initial; the name and initials of the spouse; the last name, first name, middle initial, and date of birth of the child who will be receiving care.
  3. This section also provides the child's age, residential address, the sponsor's branch of service, home telephone number, work telephone number and information on any additional children that may be enrolled in CDP.
  4. DoD civilians must provide the service or agency of their employment. Enter NA in any of the boxes that need to be left blank.
  5. Check off all desired programs and the age group of the child in Boxes 4 and 5 respectively.
  6. Boxes 6 and 7 describe the sponsor's status and the present child care arrangements.
  7. Box 8 describes estimated losses to annual income due to the child not being in daycare, the current cost of daycare, any identified special needs, and participation in other waiting lists.
  8. Box 9, Accommodation Updates/Reverification is to be filed by the staff of the facility that you are applying to. After filing and submission, you will be added to a waiting list and receive notification when there is space for your child
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