Form #

Form Name

Purpose

CS 925

Application for Child Care Subsidy

Apply for subsidized child care

CS 925A

Instructions for Completing Your Application for Child Care Subsidy

Step by step instructions for applying for subsidized child care

ACD 1082

Vocation Training Verification

Submit this form if your reason for care is school or vocational training attendance. This form documents your attendance at an approved education or training program at least 20 hours per week.

ACD 1019

Non-ACS Social Service Referral Form

Submit this form if your reason for care is homelessness or domestic violence or if your child is receiving social services.

ACS 1069

Referral to Employer for Income Information

Use this form to verify your income if pay stubs are not available.

W186-D-2

ACS Child Welfare Authorization for Referral/ Recertification/ Termination of Child Care Services

Referral between Child Welfare and Child Care for parents or foster parents whose reason for care is Preventive/ Protective Services

Forms for Child Care Subsidy Recertification (Mail completed forms to your Resource Area. These were mailed to you prior to your recertification date):

CS 1070

Documentation Required for Child Care Eligibility

List of documents needed for child care subsidy recertification

CS 1067

Household Information for Child Care Recertification

Verify household information for child care subsidy recertification

CS 1068

Income from Employment and Other Sources

Household income update for child care subsidy recertification