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DSS-CC-950 6/11 Child Care Services Assistance Application Instructions All applicants must be working and/or attending school (or a combination of both) a minimum of 80 hours per month. In addition,

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How to fill out state childcare assistance application:

1. Gather necessary documents: Before starting the application process, make sure you have all the required documents, such as proof of income, proof of residency, and proof of child's age.
2. Research eligibility requirements: Familiarize yourself with the eligibility criteria for the state childcare assistance program. This may include income limits, working or student parent requirements, and child age restrictions.
3. Obtain the application form: Visit the official website of your state's childcare assistance program or contact the relevant government agency to obtain the application form. Some states may also provide online application options.
4. Fill out personal information: Begin by providing accurate personal information, including your full name, address, contact details, and Social Security number. If applying for assistance for multiple children, provide their information as well.
5. Provide financial information: Disclose your income, assets, and expenses in detail. This may require you to submit pay stubs, tax returns, and bank statements as supporting documentation.
6. Include child information: Provide the necessary information about your child, including their full name, date of birth, and any special needs they may have.
7. Choose childcare provider: Indicate the name and address of the childcare provider you plan to choose or have already chosen. If you haven't selected one yet, leave this section blank or indicate that you will choose once approved.
8. Sign and submit the application: Once you have filled out the application form completely and accurately, sign and date it. Review the entire application carefully to avoid any mistakes. Send the completed application along with any supporting documents to the designated address mentioned on the form or submit it online if applicable.

Who needs state childcare assistance application?

1. Low-income families: State childcare assistance programs are primarily designed to help low-income families who may struggle to afford the cost of quality childcare.
2. Working parents: Working parents who need to rely on childcare services to support their employment or job training may be eligible for state childcare assistance.
3. Students: Single parents who are pursuing their education or job-related training often require state childcare assistance to balance their parental duties with their studies.
4. Families facing financial hardship: Families experiencing financial difficulties due to unforeseen circumstances, such as job loss or medical expenses, may also qualify for state childcare assistance to help ease the burden of childcare costs.
5. Special circumstances: Some states also offer additional assistance for families with children with disabilities or special needs, ensuring they receive appropriate care and support.

Note: The specific eligibility criteria and requirements may vary from state to state, so it is important to check with your local childcare assistance program for accurate and up-to-date information.

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