Ays and hours you work change often, give the days and hours you work the most. Applicant/Participant's Name: Cash Assistance Case Number: Employer's Name: Employer's Address: Work Location if Different from Employer's Address: If the work location is in New York City, answer the following question to the best of your knowledge. The employer has a total of 11 or more employees 10 or fewer employees Weekly Schedule Days Mon. Tues. Wed. Thurs. Fri. Sat. Sun. Start Time: Total Weekly.
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How to fill out the NY FIA-1100 (E) online
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.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the applicant or participant's name in the designated field.
- Input your Cash Assistance case number where requested.
- Fill in your employer's name and the employer's address in the corresponding fields.
- If your work location differs from your employer's address, provide that information.
- 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'.
- Complete the weekly schedule by entering days worked (Monday to Sunday) and input the start and end times for each day.
- Calculate the total weekly hours worked and fill that in the appropriate section.
- Input the total weekly travel time, basing it on the longest travel time multiplied by five if your travel time varies.
- If applicable, repeat the sections for other adults in the household, following the same format to input their information.
- Finally, the applicant or participant must sign and date the form to affirm the information is true and correct.
- 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.
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