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Get Ia 470-3624 2007-2025
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How to fill out the IA 470-3624 online
The IA 470-3624 form is essential for applying for child care assistance in Iowa. This guide will provide clear, step-by-step instructions on filling out the form online, ensuring that all information is submitted accurately and efficiently.
Follow the steps to complete your application online.
- Click the ‘Get Form’ button to access the document and open it in your selected editor.
- Begin by providing information about each parent, step-parent, or caretaker living in your home. Include their names, birth dates, social security numbers, and phone numbers. Make sure to fill out all required fields accurately.
- Next, list all children who need child care. Although you are asked about their ethnicity and race, responding to these questions is optional and will not affect your eligibility.
- Indicate whether any of your children have special needs. If you answer yes, you will need to attach a verification statement from your medical professional.
- Fill out the details for any other individuals residing in your home, including their names and relationships to you.
- Provide information about your child care provider, including their name and contact details, and confirm whether they will provide care in your home.
- Indicate the working status of each parent or guardian, including hours worked per week and hourly wage. Also, list the employer's name and contact information.
- For each employed parent or guardian, include a schedule of work hours, specifying start and end times for each day of the week.
- Detail your family's income sources, including gross wages, social security, and any additional income such as child support or alimony.
- If applicable, sign the form and include the date of your signature to verify that the information provided is accurate.
- Finally, review the form for completeness and accuracy. You can then save changes, download, and print the document, or share it as required.
Complete your IA 470-3624 form online to apply for child care assistance today!
If you need to report a daycare in Iowa, you can contact the Iowa Department of Human Services. They provide an online form for reporting concerns regarding a daycare's practices or safety. For effective documentation, you may want to reference IA 470-3624 to ensure that all required information is submitted correctly.
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