Child Care Assistance

To Apply for Child Care Assistance - complete this application and contract and mail or drop it off at our office.  If you need Child Care Assistance and are receiving MFIP or DWP, complete and turn in this addendum and contract.

NOTICE - As of 10/1/18, there is a waiting list for Child Care Assistance for non-cash recipients.  To be added to the waiting list, please complete this form and mail or drop off to our agency.

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Other Forms & Information for Child Care Assistance

Change Report Form

Child Care Redetermination Form

Licensed Child Care Provider List

Parent Information Letter

Parent Medical Condition Form

Referral to Child Support & Collections

Responsibility to Cooperate with Child Support & Good Cause

**In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, sex, age, religion, political beliefs, or disability. To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue SW, Washington, D.C. 20250-9410 or call (866) 632-9992 (voice), (800) 877-8339 (TTY) or (866) 377-8642 (TTY). USDA is an equal opportunity provider and employer.