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  • Acs Recertification Form

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N s Services Application Date: / / Section 1 APPLICANT LAST Name (Please include any aliases or maiden names in parentheses): FIRST Name: ADDRESS Residence: APT. #: CITY/BOROUGH: STATE: ZIP CODE: ADDRESS Mailing (if different than above): APT. #: CITY/BOROUGH: STATE: ZIP CODE: M.I.: TELEPHONE (Work): TELEPHONE (Home): TELEPHONE (Cell or Other): ( ) ( ) ( ).

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How to fill out the Acs Recertification Form online

Filling out the Acs Recertification Form online can streamline the process of applying for child care subsidies. This guide provides step-by-step instructions to assist you in completing the form accurately and efficiently, ensuring you provide all necessary information.

Follow the steps to complete the form successfully.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering your personal information in Section 1, which includes your last name, first name, and contact details. Make sure to include any aliases or maiden names.
  3. In Section 2, provide details about each family member residing in your household, listing yourself first. Indicate if each child needs care and their relationship to you.
  4. Move to Section 3, where you will need to detail your employment information, including your employer's name, address, and work hours. Make sure to specify if your job requires overtime or has rotating shifts.
  5. Section 4 focuses on your child’s needs and whether they live with both parents. Address any special conditions or health insurance coverage for your child, and provide your reasons for requesting care.
  6. In Section 5, document all household earnings, including your job income and any other sources like child support or unemployment benefits. Use the provided forms to calculate your monthly totals.
  7. Complete Section 6 and indicate citizenship status for the children you are applying for. Ensure to check the type of childcare you are considering based on availability.
  8. Finally, in Section 9, review all information, sign the form for certification, and date it. This certifies that all information is true and complete.
  9. Once you have finished filling out the form, save your changes, and you can choose to download, print, or share the completed document.

Complete your Acs Recertification Form online today to ensure a smooth application process.

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Income Requirements Family SizeAnnual Income Limit*Monthly Income Limit1$51,610$4,3002$67,490$5,6243$83,370$6,9474$99,250$8,2702 more rows

ENROLLING AS A LEGALLY EXEMPT CHILD CARE PROVIDER You can submit your enrollment form in person or by mail. All applicable sections of the enrollment form must be complete. Both the provider and the parent/caretaker must complete all applicable sections, review and sign the enrollment form.

Contact ACS Prevention Helpline (phone #: 212 676-7667, e-mail: connect@acs.nyc.gov) or see this Provider Directory for information and referral resources.

Parents can contact the ACS Voucher Enrollment Unit at 212-835-7610, or email VEU@acs.nyc.gov to request a transfer voucher packet, which you will need to fill out and submit. Families who are on or applying for Cash Assistance should contract their HRA Job Center about changing child care providers.

For qualifying families, child care programs provide free or low-cost child care for children 6 weeks to 13 years old (or to 19 years old for children with disabilities). Child care vouchers help cover the cost of child care at hundreds of home-based and center-based providers across the city.

Please call the ACS Call Center at 212-835-7610, Mon-Fri 8:30am-5:30pm. Alternatively, you may choose to apply by mail. Printable application forms can be found on our Forms for Families page.

In juvenile justice, ACS manages and funds services including detention and placement, intensive community-based alternatives for youth, and support services for families. In early care and education, ACS coordinates and funds programs and vouchers for close to 100,000 children eligible for subsidized care.

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Fill Acs Recertification Form

Child Care Recertification. This form is for families who already have child care assistance and are completing their annual recertification. Recertify for Child Care. Submit your annual recertification for child care assistance through our Child Care Portal. The form is used to determine eligibility for financial assistance in securing child care services. Name and Address: Please review the following information and indicate any changes on the lines provided. Please print clearly. List below the names and upload copies of the local equivalent form(s) that the district would like to use. CFWB-012 (subsidy application). You must complete the New York State Application for Certain Benefits and Services (LDSS-2921).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232