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Suffolk County Department of Social Services FCSA Child Care Bureau Absent Parent Information Form Applicant/Recipient Name: Case #: (if applicable) (Complete only if there is a parent who is NOT.

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How to fill out the Ccb 6010 003 online

Filling out the Ccb 6010 003 form is an essential step for those needing to provide absent parent information for child care assistance. This guide will walk you through each section of the form to ensure a complete and accurate submission.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the applicant or recipient's name and case number, if applicable. If there is more than one absent parent, ensure to fill out a separate section for each.
  3. Provide the absent parent's name followed by their Social Security Number and date of birth. Repeat these steps for each absent parent.
  4. Fill in the absent parent's address and phone number. Make sure this information is current and accurate to facilitate communication.
  5. List the names of the child or children involved. Ensure all children are named to avoid delays.
  6. Input the employer's name and address for each absent parent, as well as their work schedule. Be specific about the hours worked each day, including weekends if applicable.
  7. Indicate whether the absent parent has visitation rights with the child or children. Provide details about the visitation schedule if applicable.
  8. State whether the absent parent pays child support. If 'No', provide a brief explanation. If 'Yes', complete the corresponding fields regarding whether the support is voluntary or by court order, and provide the necessary documentation if required.
  9. Fill out the total support amount, frequency of payments, and any specified support towards child care if stated in the court order.
  10. Once all fields are completed, review the information for accuracy. You can then save changes, download the filled-out form, or print it for submission.

Complete your Ccb 6010 003 form online today to ensure timely processing of your child care assistance.

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The mission of the Department of Social Services is to provide financial assistance and support services to eligible Suffolk County residents in a cost effective and efficient manner, simultaneously protecting the vulnerable while encouraging their independence and self-sufficiency.

Eligible families may receive up to 60 months of federally funded cash assistance under the Temporary Aid to Needy Families Program (TANF). Single individuals without children and families who have already received cash assistance for 60 months may receive benefits under the New York State Safety Net Program.

Depending on the type of program benefit for which you qualify, it may take up to 30 to 45 days to get regular benefits, but for certain cases it may be sooner. If you apply for emergency/immediate needs assistance it may be much sooner depending on the emergency.

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

Cash Assistance | NYC Human Resources Administration (HRA) Requires proof of identity, where you live, income, and citizenship status. You must be a US citizen or have satisfactory immigration status to receive Cash Assistance. A worker will help you learn your status when you apply.

Temporary Assistance (TA), also known as Public Assistance (PA), is temporary help for needy adults, and children.

File an application online at: Mybenefits.ny.gov or; File a completed application in person at any of the three HEAP service centers: Southwest Center, 2 South 2nd St. Deer Park, NY 11729.

How do I apply for Temporary Assistance? You must file an application with the Suffolk County Department of Social Services at one of the following centers: South West Center, 2 South 2nd Street, Deer Park, NY 11729, 631-854-6600. Smithtown Center, 200 Wireless Blvd, Hauppauge, NY 11788, 631-853-8714.

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