Get Parent/ Applicant Worksheet (child Care And Development Fund Voucher Program) (v4-16)

Filling out the Parent/Applicant Worksheet for the Child Care and Development Fund Voucher Program can be straightforward with the right guidance. This step-by-step guide will help you navigate through each section effectively to ensure you complete the form accurately.

Follow the steps to fill out the form successfully.

1. Click the ‘Get Form’ button to access the form, enabling you to fill it out online.
2. Begin with the personal information section. Fill in your name, AIS case number, date of birth, and phone numbers (home and alternate). Ensure you indicate if your address has changed.
3. Enter your complete address, including the street address, city, zip code, and county. If you have a mailing address different from your home address, provide it as well.
4. Specify the primary language spoken in your home and list all adults living in your household, along with their birth dates, relationships to you, employment or schooling status, and their respective hours of work or study.
5. List your children living in the household, including their birth dates and indicate whether they need care. Identify which parent(s) are present in the household.
6. Detail any income received in the previous 30 days by listing income sources and corresponding amounts. Attach any required verification documents for each income source.
7. Input your required childcare details such as earliest drop-off times and latest pick-up times. Indicate if there is a different childcare provider.
8. Answer the following questions related to your living situation and any disabilities in children. Make sure to provide truthful responses, as this information is critical for assessing your eligibility.
9. Review and ensure you understand the obligations concerning verifying your eligibility for child care benefits. Sign and date the form at the bottom.
10. Attach all required documentation, make copies for your records, and save your completed form. You may also download or print the form for future reference, ensuring it is submitted to the appropriate intake office.

Complete your Parent/Applicant Worksheet online today to secure your childcare benefits!