Form preview

Get the free Child Care Quarterly Case Record Report—ACF–801 - gpo

Get Form
This document is a quarterly report required by Section 658K of the Child Care and Development Block Grant Act, which mandates states and territories to submit case-level data on children and families
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign child care quarterly case

Edit
Edit your child care quarterly case form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your child care quarterly case form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing child care quarterly case online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
In order to make advantage of the professional PDF editor, follow these steps:
1
Register the account. Begin by clicking Start Free Trial and create a profile if you are a new user.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit child care quarterly case. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
pdfFiller makes working with documents easier than you could ever imagine. Try it for yourself by creating an account!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out child care quarterly case

Illustration

How to fill out Child Care Quarterly Case Record Report—ACF–801

01
Obtain the Child Care Quarterly Case Record Report—ACF–801 form from the relevant state or local agency.
02
Review the instructions provided with the form to understand the required information.
03
Fill out the 'Case Information' section, including details such as the child's name, date of birth, and case number.
04
Complete the 'Provider Information' section with the name and contact details of the child care provider.
05
Fill in the 'Eligibility Information' section to confirm the child’s eligibility for child care assistance.
06
Document the hours of care provided and any co-payments made in the 'Care Information' section.
07
Review the 'Certification Information' section for any required signatures from the parent and provider.
08
Double-check all sections for accuracy and completeness before submitting the report.
09
Submit the report to the appropriate agency by the deadline established in the guidelines.

Who needs Child Care Quarterly Case Record Report—ACF–801?

01
The Child Care Quarterly Case Record Report—ACF–801 is needed by child care providers, parents or guardians applying for child care assistance, and state or local agencies managing child care assistance programs.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
26 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The Child Care Quarterly Case Record Report—ACF–801 is a reporting tool used by states to provide information on child care services, including data on children, families, and providers receiving assistance through child care programs.
States that administer the Child Care and Development Fund (CCDF) program are required to file the Child Care Quarterly Case Record Report—ACF–801.
To fill out the ACF–801, states must collect and compile data regarding child care services, including case information, demographic data, and financial details, and enter this data into the designated reporting format provided by ACF.
The purpose of the ACF–801 is to assess the effectiveness of child care services, track funding utilization, ensure compliance with federal regulations, and facilitate data-driven decision-making for child care programs.
The ACF–801 requires the reporting of information including the number of families served, types of services provided, demographics of children and families, case management details, and funding sources utilized.
Fill out your child care quarterly case online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.