Nebraska Child Care Request Form 2026

1. Click ‘Get Form’ to open the Child Care Request Form in our editor.
2. Begin by entering your Master Case Number and selecting whether this is a renewal or a new application for guardianship/adoption.
3. Fill in the date of request, worker name, and contact information for the foster/guardian/adoptive/biological parent(s). Be sure to specify the reason for needing child care.
4. Provide details about both parents' employers/schools, including work schedules, total hours per week, and monthly gross income. This information is crucial for eligibility assessment.
5. List each child's name and date of birth. Indicate their age category and days they will attend child care, along with effective and end dates.
6. Complete the provider information section by entering the provider's details and selecting their type. Confirm if they are a relative or an approved subsidy provider.
7. Review all entered information for accuracy before submitting your form. Ensure you acknowledge understanding of the Child Care Subsidy Program guidelines.

Start filling out your Child Care Request Form online today for free!