CHILD CARE SERVICES ASSISTANCE APPLICATION 2026

1. Click ‘Get Form’ to open the CHILD CARE SERVICES ASSISTANCE APPLICATION in the editor.
2. Begin by filling in your personal information, including your first name, last name, mailing address, and contact numbers. Ensure accuracy as this information is crucial for processing.
3. In the 'HOUSEHOLD INFORMATION' section, list all household members. Use the provided codes for race and indicate marital status. If more space is needed, attach an additional sheet.
4. Complete the 'EDUCATION or TRAINING' section if applicable. Include details about your school schedule and any relevant documentation.
5. Fill out the 'EMPLOYMENT INCOME' section by providing details of your current employment. Attach proof of income as specified in the instructions.
6. In the 'CHILD CARE NEED' section, provide information for each child requiring care. Specify their school hours and any programs they are enrolled in.
7. Finally, review all sections for completeness and accuracy before signing and dating the application at the bottom.

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