
Get the free CFWB-058 Caretaker Attestation - NYC.gov
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SAVEPRINTCFWB058 REV. 04/22Caretaker Attestation Date:ACC IS Case #:Please complete this form if you are applying for childcare assistance and one or more of the following questions apply to you:
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How to fill out cfwb-058 caretaker attestation

How to fill out cfwb-058 caretaker attestation
01
To fill out the cfwb-058 caretaker attestation, follow the steps below:
02
Begin by downloading the cfwb-058 caretaker attestation form from the official website.
03
Fill in your personal details, such as your name, address, and contact information, in the designated fields.
04
Provide details about the person you will be taking care of, including their name, age, and relationship to you.
05
Specify the duration for which you will be acting as a caretaker.
06
Indicate the tasks you will be responsible for as a caretaker.
07
If necessary, provide any additional information or documents required by the attestation.
08
Review the filled-out form to ensure all information is accurate and complete.
09
Sign the attestation form at the designated space.
10
Submit the filled-out form to the appropriate authorities as instructed.
Who needs cfwb-058 caretaker attestation?
01
The cfwb-058 caretaker attestation is needed by individuals who will be taking care of someone as a designated caretaker.
02
This includes caregivers who will be responsible for looking after children, elderly individuals, or people with disabilities.
03
The attestation is required to ensure that the caretaker has legal authorization to provide care and to establish accountability.
04
It may be necessary in various scenarios, such as when applying for government benefits or accessing certain healthcare services.
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What is cfwb-058 caretaker attestation?
Cfwb-058 caretaker attestation is a form required by the government to verify the eligibility of a caretaker to provide care for a child or children.
Who is required to file cfwb-058 caretaker attestation?
Any individual or organization acting as a caretaker for a child or children is required to file cfwb-058 caretaker attestation.
How to fill out cfwb-058 caretaker attestation?
To fill out cfwb-058 caretaker attestation, the caretaker must provide information about themselves, the child or children under their care, and their caregiving arrangements.
What is the purpose of cfwb-058 caretaker attestation?
The purpose of cfwb-058 caretaker attestation is to ensure that caretakers meet certain criteria to provide care for children in a safe and appropriate environment.
What information must be reported on cfwb-058 caretaker attestation?
Information such as the caretaker's contact details, relationship to the child or children, caregiving schedule, and any relevant background checks or certifications must be reported on cfwb-058 caretaker attestation.
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