Elcd 9600-2026

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The document is a Confidential Application for Child Development Services and Certification of Eligibility (Form CD 9600) used by families to apply for subsidized child care services. It outlines the necessary information required for eligibility determination, including family identification, reasons for needing services, income details, and data on children. The form must be completed by both the parent/caretaker and an agency representative, with specific instructions provided for each section to ensure compliance with state regulations.

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Click ‘Get Form’ to open the elcd 9600 in the editor.
Begin with Section I, Family Identification. Fill in the agency name and case number if applicable. Provide details for each parent/caretaker, including full names, social security numbers, genders, and contact information.
Move to Section II, Family Eligibility and Reason for Needing Service. Check all applicable eligibility statuses and provide reasons for needing services. Ensure to attach any required documentation.
In Section III, enter your family’s adjusted gross monthly income and size. Be thorough in listing all income sources and ensure verification is attached.
Proceed to Section IV to list all children residing in the home. Include their names, genders, birth dates, and any relevant codes as instructed.
Complete Section V by certifying your information with signatures from both parents/caretakers as needed.
Finally, review all sections for accuracy before submitting the form through our platform.

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Versions	Form popularity	Fillable & printable
2016	4.9 Satisfied (33 Votes)
2004	4.3 Satisfied (186 Votes)

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What is elcd 9600?

Confidential Application for Child Development Services and Certification of Eligibility. Form ELCD 9600 (or documentation containing the same information) must be completed and signed by the parent and an agency representative before the child enters the child development program.