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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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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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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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