Get the free Care for Kids Referral Form

This document is used for referring children to services provided by the Scott County Health Department. It includes sections for referral date, the person making the referral, contact details, the

How to fill out care for kids referral

How to fill out Care for Kids Referral Form

1. Begin by downloading the Care for Kids Referral Form from the official website.
2. Fill in the child's details, including their full name, date of birth, and any relevant identification numbers.
3. Provide information about the parents or guardians, including names, contact information, and addresses.
4. Indicate the type of care needed, such as daycare, after-school care, or preschool.
5. Include any special requirements or considerations for the child's care, such as dietary restrictions or medical needs.
6. Review the completed form for accuracy and completeness.
7. Submit the form as instructed, either online or through mail, depending on the submission guidelines.

Who needs Care for Kids Referral Form?

1. Parents or guardians looking to enroll their child in subsidized child care programs.
2. Individuals seeking financial assistance for child care services.
3. Care providers needing a referral to access funding for a child's care.

For pdfFiller’s FAQs

What is Care for Kids Referral Form?

The Care for Kids Referral Form is a document used to refer children for eligibility and enrollment in child care programs that provide financial assistance to families.

Who is required to file Care for Kids Referral Form?

Families seeking financial assistance for child care and providers working with those families are required to file the Care for Kids Referral Form.

How to fill out Care for Kids Referral Form?

To fill out the Care for Kids Referral Form, provide all necessary information about the child, the family, and the child care provider, ensuring all sections are completed accurately.

What is the purpose of Care for Kids Referral Form?

The purpose of the Care for Kids Referral Form is to assess a family's eligibility for financial assistance for child care services and facilitate enrollment in appropriate programs.

What information must be reported on Care for Kids Referral Form?

The information that must be reported includes the child's details, family income, household composition, and information about the chosen child care provider.