S responsible for paying child care costs. PLEASE PRINT ALL INFORMATION Last Name: First Name: Middle Initial: Home Address Street: Apt. No.: City: Parish: ZIP: Mailing Address Street: P.O. Box: City: Parish: Telephone Number: Home: ( ZIP: ) Work: ( ) Other Phone: ( Are you considered homeless according to McKinney Vento Homeless Assistance Act? Are you participating in a Transitional Living Program? Yes Yes ) No No Do you certify that your family assets do not exceed $.
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How to fill out the LA CCAP 2 online
Completing the LA CCAP 2 form online can facilitate the application for childcare assistance in Louisiana. This guide offers step-by-step instructions to help users efficiently fill out each section of the form.
Follow the steps to successfully complete your application.
- Press the ‘Get Form’ button to access the LA CCAP 2 application. This will allow you to open the form in your online document editor and review the necessary information.
- Begin with the identifying information section. Provide the head of household's last name, first name, and middle initial. Also, fill out the complete home address, including the street, apartment number (if applicable), city, parish, and ZIP code.
- Next, indicate whether you are considered homeless according to the McKinney Vento Homeless Assistance Act by choosing 'Yes' or 'No'. Also, confirm if you are participating in a Transitional Living Program.
- Continue to certify that your family's assets do not exceed one million dollars by selecting 'Yes' or 'No'.
- In the household composition section, list all individuals living in your household, starting with yourself. For each person, include their relationship to you, birth date, race, sex, and marital status.
- Indicate if any adults or the head of household is disabled. If applicable, provide the name and attach verification of the disability.
- Complete the section regarding 'Children Needing Care'. Include names, ages, type of care needed, and contact information for the childcare provider.
- List any children from the previous section attending Head Start, Pre-Kindergarten, Kindergarten, or school this year.
- State the primary language spoken at home and confirm if all children in need of childcare have up-to-date immunizations.
- If any children require specialized childcare due to a physical, mental, or emotional condition, provide their names and details. Also, confirm if they have an Individualized Education Program (IEP) or if your family has an Individualized Family Service Plan (IFSP).
- List employed household members, their employers, hours worked per week, and other relevant employment information.
- After completing all necessary sections, review your entries for completeness and accuracy. Make sure to sign and date the application.
- Save your changes and choose to download, print, or share the completed form as necessary to ensure submission.
Complete your LA CCAP 2 application online today to ensure your eligibility for childcare assistance.
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