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Child care redetermination form mn

DHS-5274-ENG Child Care Assistance Program Redetermination Form-2025

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The document is the Minnesota Child Care Assistance Program (CCAP) Redetermination Form, which must be completed to continue receiving child care assistance. It outlines eligibility requirements, including income limits, employment and training participation, cooperation with child support enforcement, and using legal child care providers. The form provides detailed instructions for completion, necessary information about household members, income sources, expenses, and child care needs. It also includes sections on client responsibilities and rights regarding privacy and discrimination.

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Click ‘Get Form’ to open the DHS-5274-ENG Child Care Assistance Program Redetermination Form in our platform.
Begin by filling in your personal information, including your name, phone number, case number, and address. Ensure that all details are accurate and complete.
In Section 1, list all household members. Include their names, relationships to you, and other required details such as gender and date of birth.
Proceed to Section 2 to report income. For each working member, provide employer details, hourly wage, and hours worked per week. Attach proof of income as needed.
In Section 3, detail any expenses related to medical insurance or child support. Be sure to include the amount and frequency of payments.
Complete Sections 4 and 5 for parent and child student information. Provide school names and schedules for those needing child care assistance.
Finally, review the entire form for accuracy before signing on page 7. Use our editor's features to make any necessary adjustments easily.

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See more DHS-5274-ENG Child Care Assistance Program Redetermination Form versions

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Versions	Form popularity	Fillable & printable
2021	4.9 Satisfied (49 Votes)
2018	4.3 Satisfied (151 Votes)
2015	4.2 Satisfied (155 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Does Medicaid help pay for daycare?

States are prohibited from using Medicaid funds to pay for child care for enrollees who need it to comply with work requirements. The Child Care and Development Fund (CCDF) is the major federal program that helps low-income parents pay for child care.

What is the phone number for child support in Minnesota?

Minnesota Child Support Division at 651-431-4400 or 800-657-3890. Persons with a hearing or speech disability may dial 711 for Minnesota Relay TTY access or use their preferred relay service.

What is the income limit for daycare assistance in mn?

Income limit Number of People in HouseholdAnnual Income before taxes 2 $44,006 3 $54,360 4 $64,714 5 $75,0684 more rows

What is the number for child care assistance in Minnesota?

Think Small Help with finding a child care provider and child care provider resources. Call 651-641-0332. Parent Aware Help finding child care and early learning providers. Call toll-free 1-888-291-9811.

What is the phone number for child care assistance in Minnesota?

How to apply for CCAP Online through MNBenefits. Print out and complete a paper application. By phone you may Contact the Family Team using any of our local numbers: 923-2930 Dodge, 431-5650 Steele, 837-6630 Waseca and an application will be mail.

child care assistance redetermination form

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