Get the free Acf-801 child care monthly case record form - Administration for ... - acf hhs

ACF 801 Child Care Monthly Case Record Form Head of Family Receiving Assistance 1. Reporting Period 2. Unique State Identifier (required in absence of SSN#) 3. Social Security Number (optional) 4.

How to fill out acf-801 child care monthly

Who needs acf-801 child care monthly?

1. Parents or legal guardians who have their child/children enrolled in a licensed child care program.
2. Individuals or entities operating a licensed child care program.
3. Child care providers who receive subsidy payments from the government.

How to fill out acf-801 child care monthly?

1. Start by entering the name of the child care facility or program at the top of the form.
2. Provide the facility's address, including the street, city, state, and zip code.
3. Indicate the month and year for which you are reporting the child care information.
4. Fill out the provider information, including their name, address, and phone number.
5. Enter the names of the children who attended the child care program during the reporting month.
6. Specify the dates of attendance for each child, including the start and end dates.
7. Record the number of hours each child was in care each day.
8. Calculate the total number of care hours for each child by summing up the hours for all days attended.
9. Enter the monthly rate charged by the child care provider for each child.
10. Multiply the total number of care hours for each child by their respective monthly rate to calculate the total cost.
11. Sum up the total costs for all children to determine the overall child care expenses for the reporting month.
12. Complete any additional required information, such as providing your contact details for clarification or questions.
13. Sign and date the form, certifying the accuracy of the information provided.
14. Submit the completed acf-801 child care monthly form to the appropriate agency or organization, as instructed.

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