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How to fill out the PA CY 868 online
The Pennsylvania Application for Subsidized Child Care (PA CY 868) assists low-income families in obtaining financial help for child care. This guide provides a clear and comprehensive approach to completing the form online, ensuring you understand each section and requirement.
Follow the steps to complete the PA CY 868 application online.
- Click 'Get Form' button to obtain the form and open it in the editor.
- Provide your personal information. Enter your first and last name, address, and contact details. If experiencing homelessness, check the appropriate box.
- Indicate if you receive any benefits such as TANF or SNAP. Answer 'Yes' or 'No' as applicable.
- List all members of your household, including their relationship to you, date of birth, and racial/ethnic identity.
- Detail your children in need of child care, including their citizenship status and the days they require care.
- Certify your child's immunizations status and provide additional details about their health or educational background, if applicable.
- Complete the employment, education, and training section by confirming your employment status and detailing your schedule.
- Outline your household income and expenses, ensuring to provide proof for any claims made.
- Provide permissions regarding the sharing of your application with other early learning programs.
- Review the rights and responsibilities section. Acknowledge and confirm your understanding by filling in the affidavit with your signature and date.
- Once completed, ensure you save changes and consider downloading or printing the form for your records. Submit your application by mail, fax, or in-person to the local ELRC office.
Complete your PA CY 868 application online today to receive the assistance you need.
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Pennsylvania CCIS (Child Care Information Services) The subsidized child care program helps low-income families pay their child care fees. The state and federal governments fund this program, which is managed by the Early Learning Resource Center (ELRC) office located in your county.
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