Fill and Submit Your Forms
The Fill and Sign Online forms found below are some of the documents necessary to complete in order to received Child Care either as a new applicant, a current applicant reauthorizing for CCDF, or an applicant with a child age 4 that is eligible for OMW Pre-K.
If you have previously applied or received CCDF and or OMW Pre-K and would like to reapply Complete the CCDF Pre-Application or OMW Pre-K Application.
As a new applicant the necessary forms for an intake appointment will be found on this Check List.
Existing recipients of CCDF that need to reauthorize, the forms necessary to complete will be found on this Check List.
Parents of a child at the age of 4, interested in OMW PreK, the forms necessary to complete will be found on this Check List.
| Form | Description | English |
|---|---|---|
| Alternative Wage Documentation | Form to fill up if unable to provide listed proof of income documents. | Fill and Submit |
| Applicant/Co-Applicant Appeal Form | Form to fill up if contesting the decision made on your CCDF or On My Way Pre-K application. | Fill and Submit |
| CCDF Pre-Application | Required form to fill up prior to applying for CCDF child care. | Fill and Submit |
| FSS CCDF High School Verification | Form to fill up to provide proof of completing secondary education. | Fill and Submit |
| Name Attestation | Form to complete if applicant goes by more than one name. | Fill and Submit |
| On My Way Application | Form to fill up if applying for the On My Way Pre-Kindergarten Program. | Fill and Submit |
| On My Way Provider Info Page | Form that will be filled up by the On My Way applicant’s chosen provider. | Fill and Submit |
| Parent Applicant Worksheet | Required Form to be completed by parents for their CCDF Child Care Program Application | Fill and Submit |
| Profit Loss Statement | Form to provide proof of income if self-employed. | Fill and Submit |
| Provider Info Page | Form that will be filled up by the CCDF Child Care applicant’s chosen provider. | Fill and Submit |
| Reauthorization | Reauthorization instructions for existing recipients of CCDF and the questions necessary to best determine your child(s) needs. | Fill and Submit |
| 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). | Fill and Submit |
| Hoosier Works For Child Care Card Authorization Form | Swipe card form for primary and secondary card holders. | Fill and Submit |
| Tipped Employee Worksheet | Worksheet to help compute proof of income if parent’s income is comprised of or supplemented by customer tips. | Fill and Submit |
| Wage Detail Form | Form to be completed by applicant’s employer to provide detailed proof of an applicant’s income. | Fill and Submit |