Fill out all information below. Please PRINT clearly to avoid delays in processing.Visit the Child Care Assistance Program (CCAP) page for guides, videos, and other resources to help you fill out your CCA application. An authorized COMPANY REPRESENTATIVE (not the employee) must complete this form. If you have child care questions and needs, contact the ELRC for your local area or call the Child Care Works Helpline at 1-877-4-PA-KIDS. The Child Care Works program is designed to enable low-income families to maintain employment while ensuring children receive high quality child care. The Ccis Employment Verification Form is an official document designed to authenticate and detail an employee's work status, schedule, and income.