Child care application and authorization form florida 2026

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  1. Click ‘Get Form’ to open the Child Care Application and Authorization Form in the editor.
  2. Begin with Section A: Client/Family Information. Fill in your name, Social Security Number (SSN), Date of Birth, and Gender. Indicate your ethnicity and race using the designated letters provided.
  3. Continue by entering information for your spouse or child's other parent if applicable. If there is no spouse, indicate marital status.
  4. Move to Section B: Eligibility. Check the appropriate boxes regarding your assistance status and type of care needed. Ensure you specify if you are at-risk or part of a specific program.
  5. In Section C: Child Care Authorization, list the legal names of children authorized for care along with their SSNs, Dates of Birth, Gender, Ethnicity, and Race. Specify total hours authorized for child care.
  6. Finally, complete Section D by signing and dating where indicated. Ensure all required signatures are obtained before submission.

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