Get Ny Fia-1100 (e) 2016-2026

The NY FIA-1100 (E) form is essential for those seeking child care assistance in New York. This guide provides clear, step-by-step instructions for completing the form online to ensure you provide all necessary information accurately.

Follow the steps to complete the NY FIA-1100 (E) online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter the applicant or participant's name in the designated field.
3. Input your Cash Assistance case number where requested.
4. Fill in your employer's name and the employer's address in the corresponding fields.
5. If your work location differs from your employer's address, provide that information.
6. For users whose work location is in New York City, indicate the employer's employee count by selecting either '11 or more employees' or '10 or fewer employees'.
7. Complete the weekly schedule by entering days worked (Monday to Sunday) and input the start and end times for each day.
8. Calculate the total weekly hours worked and fill that in the appropriate section.
9. Input the total weekly travel time, basing it on the longest travel time multiplied by five if your travel time varies.
10. If applicable, repeat the sections for other adults in the household, following the same format to input their information.
11. Finally, the applicant or participant must sign and date the form to affirm the information is true and correct.
12. After completing all sections, save your changes, and choose to download, print, or share the form as needed.

Complete the NY FIA-1100 (E) online today to secure your child care assistance.