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How to use or fill out Pennsylvania Application for Child Care

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Click ‘Get Form’ to open the Pennsylvania Application for Subsidized Child Care in our editor.
Begin by filling out your personal information, including your name, address, and contact details. Ensure that all entries are clear and legible.
List all individuals living with you, including their names, dates of birth, and relationship to you. This section is crucial for determining eligibility.
Indicate whether each child listed requires child care and specify the days they need care by checking the appropriate boxes.
Complete the employment section by providing details about your job or training program. Attach any necessary proof of employment or training as required.
Review your application thoroughly before signing and dating it at the end. Make sure all information is accurate to avoid delays.
Submit your completed application online through our platform or send it via mail or fax to your local CCIS agency.

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Versions	Form popularity	Fillable & printable
2018	4.2 Satisfied (30 Votes)
2018	4.6 Satisfied (56 Votes)
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2006	4.3 Satisfied (185 Votes)

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What is the income limit for child care assistance in PA?

CCS rates 2025-26 Family incomeSubsidy rate Up to $85,279 90% More than $85,279 to below $535,279 Between 90% and 0% The percentage decreases by 1% for every $5,000 of income a family earns $535,279 or more 0%

What is the income limit for daycare assistance in PA?

The primary use of information regarding family income (copies of pay slips and tax returns), name of current child care provider, copies of the providers license, statement of compliance, and information about other child care subsidies is also used to determine eligibility for child care subsidy.

What is the maximum income for a child care subsidy?

Yes, Pennsylvanias subsidized child care program, Child Care Works, helps low-income families with child care costs. If you are eligible, your local Early Learning Resource Center (ELRC) may pay part or all of your child care cost.

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