ECE 021 (formerly known as CS-1067)-2026

The document is a recertification form for household information related to child care services. It requires families to verify and update their personal details, indicate changes in household composition, and specify reasons for needing child care. Additionally, it collects information on household members' marital and military status, as well as details about children requiring care, including citizenship and disability status. The form also mentions the possibility of being placed on a Voucher Wait List for child care assistance.

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Click ‘Get Form’ to open the ECE 021 in our editor.
Begin by entering your Case Number and Program/Provider Number at the top of the form. Ensure these details are accurate for proper processing.
In the Household Information section, fill in your name, telephone number, and address. If any information has changed, indicate this clearly in the provided lines.
Answer whether your household is a two-parent/caretaker household and select the reason for child care from the options provided.
For each household member, check their marital and military status using the codes provided. If there are changes, be sure to mark them accordingly.
Add any new children or household members by filling out their details in the designated area. Remember to attach copies of birth certificates for new children.
Finally, review all entries for accuracy before saving or printing your completed form.

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