| Alternative Wage Documentation |
Form to fill up if unable to provide listed proof of income documents. |
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| Applicant/Co-Applicant Appeal Form |
Form to fill up if contesting the decision made on your CCDF or On My Way Pre-K application. |
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| Attendance Approval |
Documented instructions for approving or denying personal day late attendance. |
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| CCDF Documents to Bring to the Interview |
Required documents for CCDF application. |
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| CCDF Pre-Application |
Required form to fill up prior to applying for CCDF child care. |
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| Child Support and Maintenance Declaration |
Form to provide, by child, the average amount of child support received monthly. |
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| FSS CCDF High School Verification |
Form to fill up to provide proof of completing secondary education. |
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| Name Attestation |
Form to complete if applicant goes by more than one name. |
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| On My Way Informational |
What you need to bring to your appointment to make sure your family is eligible and to complete your child’s On My Way Pre-K grant. |
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| On My Way Application |
Form to fill up if applying for the On My Way Pre-Kindergarten Program. |
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Bajar |
| On My Way Parent Agreement |
Form to be completed by parents agreeing to the requirements of OMW Pre-K. |
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| On My Way Provider Info Page |
Form that will be filled up by the On My Way applicant’s chosen provider. |
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| Parent Applicant Worksheet |
Required Form to be completed by parents for their CCDF Child Care Program Application |
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| Profit Loss Statement |
Form to provide proof of income if self-employed. |
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| Provider Info Page |
Form that will be filled up by the CCDF Child Care applicant’s chosen provider. |
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| Provider Parent Statement |
Form to complete if parent works in the child care provider their child/children will go to. |
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| Reauthorization Information |
Instructions to complete in order to renew child care for the new year. |
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| Report of Change Form |
Form to submit if any changes occur for the family (changes in income, need more child care time, family and custodial changes). |
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| Reporting a Provider Complaint |
Documented instructions for reporting complaints against a provider. |
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| Hoosier Works For Child Care Card Authorization Form |
Swipe card form for primary and secondary card holders. |
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| Tipped Employee Worksheet |
Worksheet to help compute proof of income if parent’s income is comprised of or supplemented by customer tips. |
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| Wage Detail Form |
Form to be completed by applicant’s employer to provide detailed proof of an applicant’s income. |
Download |
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