Get Pa Cy 868 2018-2025

The PA CY 868 is an important application used for subsidized child care in Pennsylvania. Completing this form may help users access financial assistance for child care services, ensuring that families can afford quality care for their children. This guide provides clear, step-by-step instructions for filling out the form online.

Follow the steps to effectively complete the PA CY 868 application online.

1. Press the ‘Get Form’ button to obtain the application and access it in your preferred editing tool.
2. In the section labeled 'Parent/Caretaker Name', enter your full name and ensure it matches the one on your identification documents.
3. Provide your complete address including city, state, and ZIP code. If applicable, check the box if you are experiencing homelessness.
4. Fill in your contact information, including phone numbers and email address. Specify your primary language and the language you prefer for communication.
5. List all household members, including their names, relationships, dates of birth, and indicate their ethnicity. Ensure to provide accurate information to represent your family composition.
6. Indicate details about your children needing child care, including their names, whether they are U.S. citizens, and the days you require care.
7. Complete the employment, education, or training section. Provide information on your job or program, including names, hours, and how you receive payment.
8. Answer income and expenses questions truthfully. Provide details regarding any income received and attach proof if necessary.
9. Sign the affidavit on page 7 to confirm that all provided information is complete and accurate. Ensure to include the date.
10. Once you have filled out all sections, save your changes and decide whether to download, print, or share the form as needed.

Complete your PA CY 868 application online today to access financial support for your child care needs.