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DSSCC950 11/2022Child Care Assistance Application Instructions To be eligible, applicants must meet work and/or school requirements. Refer to the Frequently Asked Questions section for more information.

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How to fill out the SD DSS-CC-950 online

Filling out the SD DSS-CC-950 form for Child Care Assistance can be a straightforward process when approached step by step. This guide will provide you with clear and supportive instructions on how to navigate and complete the form efficiently.

Follow the steps to complete the SD DSS-CC-950 form online.

  1. Use the ‘Get Form’ button to access the SD DSS-CC-950 and open it in your online editor.
  2. Complete the personal information section by entering your first name, middle name, last name, mailing address, current home address (if different), and both home and work telephone numbers.
  3. In the household information section, list all individuals living in your home. Ensure you provide details such as their names, racial identity (if comfortable), and relationships to you, along with their dates of birth.
  4. Answer the series of questions regarding military service, benefits received, and your living arrangements. Provide accurate information based on your household's situation.
  5. Detail the employment income for all adults in the household. Enter the information about each job, including the place of work, employment dates, payment frequency, and total hours worked weekly.
  6. Complete the other income section if applicable. Record any additional sources of income, such as child support, and indicate whether any household members make child support payments.
  7. Fill out the child care needs section for each child requiring care, including their school status and any relevant details about their programs.
  8. Provide information regarding your selected child care provider(s). Attach necessary details such as the provider's name, contact information, and cost of care.
  9. Carefully read the rights and responsibilities outlined at the end of the form and add your signature along with the date. If applicable, provide a signature from the child's other parent or guardian.
  10. Review the completed application for accuracy, then save your changes. You may choose to download, print, or share the form as needed.

Complete your SD DSS-CC-950 form online today to ensure your application for Child Care Assistance is submitted efficiently.

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