Get (access) Application - 4cs Of San Mateo County - Sanmateo4cs

This guide will assist you in completing the (ACCESS) Application for the 4Cs Alternative Payment Program in San Mateo County. The application is essential for securing subsidized child care services and provides crucial information for eligibility assessment.

Follow the steps to effectively complete the application.

1. Click ‘Get Form’ button to obtain the application form. This will allow you to access the content and begin the filling process.
2. Enter the primary parent or guardian’s information. Fill in fields for first name, last name, and date of birth accurately to ensure correct identification.
3. If applicable, provide the secondary parent or guardian's details in the designated section, including their first name, last name, and date of birth.
4. Input your home address and mailing address. Be sure to include apartment numbers, city, and zip code for both locations.
5. Fill out the contact information by entering your home phone number and alternate phone number, if available.
6. Select the primary language spoken by marking the appropriate box. If 'Other' is selected, specify the language.
7. Indicate the number of adults in the household related to the children and provide their names and relationships to your child(ren).
8. Answer the question regarding whether you have received CalWORKS cash assistance within the last two years by marking 'Yes' or 'No'.
9. For each child under 18 in the household, fill out their first name, last name, date of birth, and whether they need child care.
10. If applicable, indicate if any of the children have an IEP (Individualized Education Program) or an IFSP (Individualized Family Service Plan).
11. If there is an open CPS (Child Protective Services) case for your family, provide the name of the child involved.
12. If you are a foster parent or guardian not related to the children, provide the total monthly income you receive for the children.
13. Document the primary parent's wages before taxes and deductions and indicate how often this amount is received.
14. Fill in monthly amounts for various income types, including disability, child support, social security, and any other income.
15. If there is a secondary parent, provide their wages before taxes and denote how often this amount is received.
16. Complete the same income section for the secondary parent, if applicable, and describe any other means of meeting family needs if there is no family income.
17. Review all entries for accuracy and completeness before certifying the information. The primary parent must sign and date the application.
18. Once completed, save your changes, and use the options available to download, print, or share the form as necessary.

Complete your application online today to ensure your eligibility for child care support.