Education new york 2026

1. Click ‘Get Form’ to open the education new york document in the editor.
2. Begin by filling out the CASE IDENTIFICATION section. Enter the ACS Case Number, Case Name, CNNX ID Number, Stage ID Number, and Date of Referral.
3. In the TYPE OF REFERRAL section, select one of the options: Foster Care, Preventive, or Child Protective.
4. Complete the REFERRAL SOURCE INFORMATION by providing your name, phone number, email, and agency details.
5. Fill in FAMILY/CARETAKER INFORMATION with names and contact details for parents or caretakers. Indicate their relationship to the child and primary language spoken.
6. For CHILDREN NEEDING EARLY CARE AND EDUCATION SERVICES, list each child's name, gender, special needs status, birth date, and eligibility code.
7. In HOUSEHOLD INFORMATION, provide details for all household members including names and relationships to the caretaker.
8. Complete EMPLOYMENT information for parents/caretakers detailing their employer and work hours.
9. If applicable, document income verification in the INFORMATION USED TO DOCUMENT CARETAKER’S WORK STATUS AND/OR INCOME section.
10. Finally, ensure that you complete the CERTIFICATION section as required based on case type before saving your form.

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