Child care application form. Make changes to the sample.

Child care application form For example, weekends, school holidays. Child Wellbeing Show pages under Child Wellbeing. Child Care Subsidy – guide to claim. Sp ecial Needs – Child Care Subsidy Referral (MUST BE COMPLETED BY REFERRING PROFESSIONAL) The Search for Child Care web tool provides facility information and inspection reports for licensed and religiously exempt child care centers, licensed and voluntarily registered family day homes and certified pre-schools. Child Care Program Youth & Child Unit . Once we Applying for the First Time If this is your first time applying for child care subsidy, please be advised that you must be the parent or legal guardian of the child receiving subsidy benefits and must apply in the county in which you reside. Families can apply to Pre-K in the calendar year that the child turns four years old – care is available in centers and school-based settings. bc. Use Fill to complete blank online OTHERS pdf forms for free. Self Employment Income Information Attestation. For more information, contact your local CCR&R or call the Child Care Helpline 1-800-332-9227 To report abuse call the Child Abuse Hotline 1-877 NJ ABUSE Or make a complaint about a child care center call 1-877-667-9845 Child Care Application Child Care Provider Data Form Client/Provider Separation Clearance Form (to be filled out by your previous provider) (REQUIRED: ONLY complete if you are REOPENING your case) Head of Household & Spouse Picture ID (Guam’s Driver’s License, Guam’s ID, Work/School ID, Passports, US Naturalization See 'About Affordable Child Care Benefit' and the 'Forms and Documents Checklist' at the end of this form for more information or visit gov. If you know of a licensed child care provider who wants to enroll with DCF, add their information to an application or change form so Child Care program staff can send a referral to DCF provider enrollment staff. Child 1 Child Care Registration Form Template. 1 and 7. This receipt will tell you what other documents you need to provide so we can assess your application. If you meet the eligibility criteria provided in the "Do I Qualify" section of BUREAU OF CHILD CARE SERVICES (BCCS) Child Care Assistance Program www. Payment of the application fee must be made online when submitting this form. Families applying for DES child care assistance must meet certain eligibility criteria, and submit the following to a local DES office in person, by email, or fax: A completed: Application for Child Care Assistance - English; Application for Child Care Assistance - Spanish; Proof of identity for the applicant Looking for printable enrollment forms to use at your daycare center, preschool or similar child-centered business? At Procare Solutions, we’ve been offering child care enrollment forms, application forms, sign-in sheets, bus run sheets, and preschool activity sheets to our clients for several years. * CHILDREN MUST BE: U. The following fees and forms must be submitted to the Department of Human Services as listed below. Early Learning & Child Care Program . Request of Child Care Forms – CCL-2021 – Word. Set to launch in January 2023, Promise NYC is a new child care assistance program that will, for the first time in New York City's history, provide child care assistance to low-income families with children, including undocumented children, whose immigration status makes them ineligible for other, federally-funded child care assistance. F 948 2625 . Any Queensland resident aged 18 years and over may express an interest in becoming a foster carer. State the actual week days and hours per day that you require child care in one month. Download and request all of the forms you will need to apply for the Child Care Assistance Program straight from our website. Subject: Request for Approval of Child Care Leave. Child Care Licensing Information Request - CCL 001 -PDF. You can search our provider database to find a child care provider near you. 9. On average this form takes 121 minutes to complete Customize and Download this "Day Care Application Form". If you have pre-school children aged 3 and over, they may be able to get up to 20 hours a week of early childhood education (20 Hours ECE) funded by the Families can apply to 3-K in the calendar year that the child turns three years old – care is available in centers, family child care (home-based), and school-based settings. (217) 525-2805 10+ Daycare Application Forms. Return your completed Eligible Child Care Providers • You can use your child care assistance at any licensed child care center, a registered family child care provider, approved home (in-home and family, friend or neighbor), school-based program or a summer youth camp that is approved by the state and accepts state payments. It is restricted to families who can't access other types of approved care. Child Care Center Designee Form (BCAL-5003) (if applicable). Call the Child Care Assistance Office at (914) 995-6521 for more information. We recognise the ongoing connection Aboriginal and Torres Strait Islander people have with Country throughout this continent since time immemorial. If any dependent child received care from a DHHS approved license-exempt provider enrolled in the Child Care Subsidy Program pursuant to Neb. You may also fax the request form to (914) 813-4309 or e-mail to . Our programs support everyone in creating safe, healthy, and sustainable places in the community for children. It is typically for families who work unusual hours, live in a remote area or have complex needs. Enhance this design & content with free ai. 1-888-352-2842. ” 4. The Child Care Grant program provides financial assistance to students who have children 12 and under, are not receiving assistance under the Minnesota Family Investment Program (MFIP), and who demonstrate financial need for grants, to help pay for child care while pursuing a postsecondary education. Eligibility Forms for Childcare Assistance. com 671-735-7344 / 7256 Page 1 of 5 APPLICATION FOR CHILD CARE ASSISTANCE OVERVIEW To be eligible for assistance, your family must: • Have an accepted service need (reason for child care) • Meet the income guidelines CHILD CARE ASSISTANCE APPLICATION. , 730 days during their entire service. If you are the authorized representative applying on behalf of someone else, Child Care Assistance must be used for that person and not yourself. If you need help with reading and/or completing this application, please contact your local CCIS agency. Is the child among the two eldest Children : Yes/No 8. In addition, ODJFS and county agencies are responsible for licensing and inspecting all child care settings in Ohio. The most common reason is that a daycare application form templates is viewed as a means of formalizing the enrollment or registration of a child to a specified institution wherein both his or her mental and physical development will be monitored by the employees in order to assist CHILD CARE APPLICATION IL444-3455 (R-8-16) Child Care Application Printed by the Authority of the State of Illinois Page 2 of 17 Parent/Guardian Name: Important Notice: The sooner your application is submitted, the sooner benefits can be determined. If you need assistance in completing the application or other documents please contact us for help. The Ohio Department of Job and Family Services (ODJFS) helps parent(s) who are working or in school pay for child care through the Publicly Funded Child Care (PFCC) program. This page outlines what you need to do before you apply. This is an application for subsidized child care. Child Care Provider? • Parents may select any program approved to offer publicly funded child care. The amount you pay is based on your gross income and family size. I certify that my family resources do not exceed $1,000,000. Form 1 Page | 1 (ECDA Form 1 – 9 Dec 2024) CHILD CARE ENROLMENT AND SUBSIDY APPLICATION This form is used for the purpose of: • Submitting basic enrolment details (applicable for all children) • Applying for Child Care Subsidies, Start-Up Grant (SUG) and/or Child Care Financial Assistance Acknowledgement of country. of . PURPOSE: This is the Michigan Child Development and Care (CDC) Application used to apply for child care assistance. For help applying for the Child Care Assistance Program, visit the Child Care Assistance Program Training to view video tutorials, guides, and other application resources. If a family is not currently eligible for child care subsidy, they should fill out the Child Care Assistance Application (CFWB-012) and any additional forms needed based on their reason for care and how they will verify income. Return your completed Welcome! We know how important it is for you to find quality child care for your child. Copy of valid driver license or a valid state or federal government issued ID card for the In Home Care (IHC) is a flexible form of early childhood education and care where an educator provides care in the child's home. Rev. They can also visit the Child Care in Kansas DCF enrolled providers page for more information. You can find more information in the County Directory. Following the process outlined on this page to apply for a blue or exemption card will help to ensure you have everything ready to complete your application. "Day Care Application Form" is in editable, printable format. Educator rates In home child care fees vary. CHILD CARE ASSISTANCE PROGRAM FORMS. A foster carer can be 4. Not all providers are signed up to accept payments through the CCPP. Child Care Licensing Information Request - CCL 001 - Word . Eligibility In Home Care (IHC) is for families who can’t access traditional forms of early childhood education and care. We’ll guide you through the claim process for new claims. ChildCareLicensing@dhs Applying for Child Care Subsidies, Start-Up Grant (SUG) and/or Child Care Financial Assistance (CCFA) (applicable for Singapore Citizen children only); or Updating change in applicant (for existing enrolled Singapore Citizen children) Part 1: Child Enrolment Details Please complete Part 1 to provide the information on the child(ren). au Complete the following steps to apply for Child Care Subsidy (CCS). NOTE: This form is a SmartForm designed to be used in Adobe Acrobat Reader. Child Care Training Information Center. Ask for the ‘Application for an Australian Passport - Child’ form. CHILD CARE APPLICATION . For example; People can send submissions from their homes; You can store all the data as you want; Easily review the submissions; And, customize the child care authorization form according to your terms and conditions Application for Initial Approval – Form 3A APA `The Application for Initial Approval – Form 3 (APA Initial) is to be completed when a person is applying to become a foster or kinship carer. 00. Promise NYC. Before you start, check if you can get it. If you live in England, you’ll also find out if you’re eligible for 15 or 30 hours free childcare. Fill out a paper application and submit it to your local office. Download the W-9 form to be paid for child care services. Having this information ready will reduce the time it takes to complete the application. 3. The childcare assistance available to you will depend on your individual situation and the type of childcare your child is enrolled in. To apply for a new provider approval you must ordinarily reside in Victoria or have a principal office in Victoria if the applicant is not an individual. Page . Check Your Cases View information on your CCAP case(s) Complete Change Reports Fill in our child care application form (PDF) and: email your completed form to Child Care Registration; mail your completed form to the Child Care Registration Officer Merri-bek City Council, Locked Bag 10, Merri-bek 3058, or; submit your completed form online in person at a Customer Services Centre. To locate a CCIS near you, call 1-877-PA-KIDS (1-877-472-5437), or to contact your local CCIS agency: CHILD CARE INFORMATION SERVICES AGENCY: Directions for Completing the Application for Subsidized Child Care It serves families with children under the age of 13 (or through age 18 if the child is mentally or physically incapable of self-care or is under court supervision)*. The information provided below will help you with the application process. As part of your application, you’ll find out if you’re eligible for Tax-Free Childcare. If you get Child Care Subsidy, you are required to keep your information up to date. Date of return from last leave, & nature and period of that leave: Date : Signature of applicant Employee ID No. Date on which child will be attaining 18 years. Providers are not authorized by AVCP to provide care until the parent/guardian(s) and provider’s applications are approved and the Fill Online, Printable, Fillable, Blank CHILD CARE APPLICATION Form. Total Child Care Leave availed till date: 13. Name of Child for whom Child Care leave is applied for : _____ 5. Sep 13, 2023 · 2. Applications will not be reviewed until complete. ‍Child Care Subsidy ‍To apply for in home care, you must be eligible for the government’s Child Care Subsidy. forms. gov. K. Fax: (907) 543-4261 . guamchildcare. You can apply in three ways: Apply online; Visit your local office in person. INSTRUCTIONS FOR THE CHILD CARE APPLICATION AND AUTHORIZATION INTRODUCTION: This form is intended to be the single referral and authorization form for child care services provided by the subsidized child care program. You may be required to pay for part of your child care in the form of a copayment. Stat. We have help available if you use assistive technology or need an interpreter. 2 of the Child Care Facility Handbook require a current physical examination (Form 3040) and immunization record (Form 680 or 681) within 30 days of enrollment. Department of Human Services - Bureau of Child Care and Development CHILD CARE APPLICATION Parent/Guardian Name: IL444-3455i (R-8-16) Child Care Application Page 3 of 17 Printed by the Authority of the State of Illinois If yes, list all child care provider names and registration numbers (if assigned) you seek assistance in paying: It must be completed by your child care service, and includes details about your care sessions and fees. Care of The application form will tell you which documents you must bring when you lodge your printed application form. 210 - 114 Garry Street, Winnipeg, MB Canada R3C 4V4 204 -945 0776 . The process is straightforward, and we are here to walk you through the steps! The Child Care and Development Fund (CCDF) is a federal program that helps low-income families pay for child care so parents can work, go to school, or attend training. PO Box 219, Bethel, AK 9955 . All questions on the application form must be answered. To work or volunteer in regulated child-related employment or operate a regulated child-related business in Queensland, you may need a blue or exemption card. Date : Signature : Designation : Office : APPLICATION FOR CHILD CARE LEAVE Department of Human Services - Bureau of Child Care and Development CHILD CARE APPLICATION IL444-3455 (R-8-16) Child Care Application Printed by the Authority of the State of Illinois Page 2 of 17 Parent/Guardian Name: Important Notice: The sooner your application is submitted, the sooner benefits can be determined. For those who need assistance outside of our service area, please visit Child Care Aware and input your zip code to locate your local Resource & Referral agency. Visit Applying For Child Care Services In order to expedite processing of your application it is important that you read all documents in detail. . The process will be similar except this would require a different set of documents as shown on page 1 of the application. Renew Your Benefits Submit an application for Continued Assistance (Redetermination) for CCAP. Child Care Application (BCAL-3970). CITIZENS OR QUALIFIED ALIENS, AND MUST RESIDE WITH PARENTS, LEGAL GUARDIANS, FOSTER PARENTS, OR INDIVIDUALS ACTING IN LOCO PARENTIS. • Feb 6, 2025 · Mail the request form to: Child Day Care Assistance Program Attention: Child Care Provider Liaison 10 County Center Road, 2nd Floor White Plains, NY 10607. Oct 28, 2022 · In Home Care Eligibility Application Form If you have trouble accessing this document, please contact us to request a copy in a format you can use. The slightest mistake puts the child and your organization at risk. Attach all necessary Click on New Document and choose the form importing option: upload Building Blocks Daycare Center Employment Application Date: from your device, the cloud, or a protected URL. Check or money order payable to the “State of Michigan. Application submission date: State of Michigan Child Development and Care (CDC) Program Application . These forms are for families who are applying for child care for the first time. After you submit your claim online, you’ll get a receipt telling you the ID number of your application. Complete all applicable fields and submit your application along with all required supporting eligibility documents and drop off, email or mail to: Mail: Child Care Subsidy Unit Fremont Office (Located in the Fremont Family Resource Center) 39155 Liberty Street, Room D410 Fremont, CA 94538 (510) 582-2182 May 20, 2021 · With Procare’s intuitive online form builder, you can customize your child care registration forms, share digital forms with parents and collect payments in just three easy steps. You must download our forms and fill them in so they are processed quickly. For any additional questions or inquiries, please contact: DHS. Jan 22, 2025 · 4. SECTION I - Participant Information Date Received concerns regarding your child care provider, to include abuse or neglect Since 1969, Illinois Action for Children has advocated for child care providers, families, and children. 29. Step 2. You can apply as: partenership. Use ready-made form fields or make changes. For use by self-employed applicants. Apply for Child Care Assistance (CCAP) Check the status of an application Check the status of an application that you have recently submitted. Parents and legal guardians must submit the Child Care Refundable Tax Credit Application, Form 7203. •Section 7. We’ll also help you update an existing claim to add another child. This CCL form is essential for women Government Employees who have minor children (up to 18 years of age) as they may be granted Child Care Leave for a maximum period of two years, i. Return your completed Child Care Application Child Care Application Child Care Application (Yapese) Child Care Application (Kosraean) If you have a foster child, then download our Foster Child Care Application below and begin filling it out. You can also electronically sign some of our forms. About the child wellbeing subsidy; Identifying a child at risk; Examples to help you understand when a child is at risk; Talking with the family; Establishing eligibility; Reporting obligations; Issuing a certificate BUREAU OF CHILD CARE SERVICES (BCCS) Child Care Assistance Program www. Jul 1, 2024 · Use this form to provide information about your child’s care arrangements. They may be required to submit along with your child care application. EL in credit (as on date) : _____ 9. If both parents work, leaving the child is at a daycare center is always among the best options. scope form) Applicants applying to operate in-scope services (centre-based or family day care) must register for NQA ITS portal access and submit the PA01 form electronically through the portal. To start a childcare service in Victoria you must first apply to the Regulatory Authority: then to apply for approval to operate a service. Step 1. When you apply for Child Care Subsidy (CCS) approval, you’ll need to provide a range of information and evidence. Date of Birth of the Child : _____ 6. Department of Human Services - Bureau of Child Care and Development CHILD CARE APPLICATION If yes, list all child care provider names and registration numbers (if assigned) you seek assistance in paying. After you apply. Are you currently receiving/have you received assistance for child care with a emporary Assistance for Needy Families (T orTANF) Transitional Child Care (TCC) grant through the Work First New Jersey (WFNJ) Program within the last two years? If yes, indicatewhen benefits do/did expire by entering Month, Day and Year and TANF case number 1 Find a Child Care Provider. com 671-735-7344 / 7256 Page 1 of 5 APPLICATION FOR CHILD CARE ASSISTANCE OVERVIEW To be eligible for assistance, your family must: • Have an accepted service need (reason for child care) • Meet the income guidelines Child Care Subsidy (CCS) for the child(ren) requiring In Home Care. OCA Request Form; Apply for Exemption From Disqualification; Child Care Program Office (850) 488-4900. • If you would like assistance with selecting a provider, you may contact your local Child Care Resource and Referral Agency. Child Care Provider Application . See full list on education. This program also makes child care more available, affordable, and improves quality for families. If you live, work, or need child care in our service area, please submit an application to see if you qualify for child care financial assistance. Create your form by choosing forms. Make sure all forms are filled out completely and legibly. ). Make changes to the sample. Dear [Supervisor’s Name], I am writing to formally request child care leave from May 20 to May 25, 2025, to provide care for my child during a critical medical procedure. Information from each registration form is stored in Procare’s platform, making it easier than ever to use your data for attendance tracking , parent engagement , progress reports and more. We compare your income estimate with your actual income at the end of each financial year. These programs include centers, family child care homes and in-home aides located throughout the state of Ohio. : _____ 7. Please contact your preferred service provider for an accurate costing of potential out of pocket fees for your family. This page outlines the criteria families must 1. S. ca/affordablechildcarebenefit Changes to any of the information you provide must be reported to the Child Care Service Centre at 1-888-338-6622. You must select a child care provider before your apply for tuition assistance through the Child Care Payment Program (CCPP). Complete the following steps to apply for Child Care Subsidy (CCS). Medication Permission and Instructions for Child Care Homes/Child Care Centers - CCL-1243 PDF J. FOR PARENTS & FAMILIES: How to Apply for Child Care Assistance Child Care Application Foster Child Care Application Change Report Form Consent to Release Certificate Self Employment Income Form Establish Vendor Account Form Separation Clearance Form Child Care Calendar Child Care Provider Data Form Medical Consent Form Employment Verification Form Employee Earnings Statement Additional Child Care Subsidy Show pages under Additional Child Care Subsidy. app's free templates for all application forms. This application is also available in Spanish. CHILD CARE ASSISTANCE PROGRAM APPLICATION State of Illinois Department of Human Services - Division of Early Childhood-0- Copies IL444-3455 (R-02-22) Child Care Assistance Program Application Printed by Authority of the State of IL Page 3 of 12 Parent/Guardian Name: SECTION 4 - CHILDREN IN CHILD CARE child’s care arrangements (FA012) When to use this form Important information Use this form to confirm your child’s care arrangements, or if you are applying for or receiving Family Tax Benefit or Child Care Subsidy and your child(ren) spends time with someone other than you and/or your current partner. 3 of the Child Care Facility Handbook requires that parents receive a copy of the Child Care The Ohio Department of Job and Family Services (ODJFS) offers financial assistance to eligible parents to help them with child care costs while they engage in work, education, or job training. My presence is necessary to ensure a smooth recovery The application must be completed by all applicants seeking Child Care assistance. Form 2986, Listing Permit Request; Form 2760, Controlling Person – Child Care Regulation If you want help in paying your child are costs, you must complete this application. You may be eligible to get help for your child care expenses if you need to work, complete This is an application form for the Child Care Leave (CCL) Form PDF, which you can easily download from the link provided at the end of this page. Supplemental Information Child Care Center (BCAL-3601). Download and print the Application for Child Care Services – DHS Form 911. (a) Whether permission to leave station is required: Yes/No (b) If Yes, Address during leave period : 14. How to confirm the enrolment details. Parent HandbookPlease read all instructions carefully. Nov 29, 2024 · Notification of approved forms under the Child Protection ACT 1999 effective 27 March 2024 (PDF, 996 KB) Licensing of care services (LCS) forms. Step 3 • your child has at least three hours of care a week. IDENTIFYING INFORMATION: This form should be completed by the head of household or other household member who is responsible for paying child care costs. Once completed you can sign your fillable form or send for signing. 5. Parent/Guardian Name: List all other child care provider(s) such as Head Start, Pre-K or Child Care at a provider not on this application. All submitted applications are forwarded to the Eligibility Specialist who will review/process the application. Number of days, hours per day worked, etc. For children, the form is purple. No applications for New York City and Schenectady County can be made using the Child Care Assistance Application portal. It is designed to be used by authorized employees of the Welfare Transition program, the Department of Children Child Care Application - Supplemental Forms. Child Care Assistance Documents APPLICATIONS Child Care Application Child Care Application(Chuukese) Child Care Provider Data Form Neni Directory (Updated January The following provide links to every form and application that governs the licensing, registration, training and accreditation processes of child care facilities and homes within the State of Florida. Your W-9 form will be submitted to the Illinois Department of Human Services Comptroller’s office for processing. Variable Work Schedule/Child Care Requirements: Explain your work schedule providing as much detail as possible (eg. Select the child care application form template. If you cannot complete an application form online, collect a blank application form at a participating Australia Post outlet. CHILD CARE APPLICATION Si necesita esta aplicación en idioma español, llame al 1-800-476-0199 por favor. All forms are printable and downloadable. Use the top and left panel tools to edit Building Blocks Daycare Center Employment Application Date:. app provides you with the necessary form fields and you can create your forms in minutes. 7. Check out forms. New Online Application: If you are looking for child care assistance, you can now apply online with a provider who accepts child care payments and has a special number issued by the Department of Human Services. Application for an Order under the Care of Children Act 2004 [DOCX, 27 KB] Notice of Response (Intention to Appear) to an application made under the Care of Children Act 2004 [DOCX, 22 KB] Lawyers certificate [DOCX, 21 KB] Self-represented applicants must use the Care of Children Act online form generator to prepare their application. It is unlawful to obtain Child Care Assistance by concealing information or providing false information. Child Care Super acknowledges that we operate on sovereign First Nations land. STATE STREET ROCKFORD Name and address of your child care provider; Birth certificates for your children who need care; Step 3: Apply. The same person claiming CCS needs to have the CWA with the child care service. W-9 Form State of Illinois Department of Human Services - Bureau of Child Care and DevelopmentCHILD CARE APPLICATION IL444-3455 (R-6-11)Are you currently attending school, training or a TANF-Required Activity?TYPE OF EDUCATION/TRAINING CURRENTLY ATTENDING: (Check one)Is the other parent or stepparent of any of your children, step children or wards living in your home?Type of Degree Being EarnedPlease Department of Human Services - Bureau of Child Care and Development CHILD CARE APPLICATION IL444-3455 (R-8-16) Child Care Application Printed by the Authority of the State of Illinois Page 2 of 17 Parent/Guardian Name: Important Notice: The sooner your application is submitted, the sooner benefits can be determined. DSS Form 3791 (MAY 19) Edition of a APR 16 is obsolete. Phone: (907) 543-7430 or (800) 478-3521 . You can do this by regularly checking your details are correct. §§ 68-1202 and 68-1206, they must also submit a copy of the DHHS authorization to receive Child Care Assistance. Return your completed application to: YWCA CHILD CARE SOLUTIONS 4990 E. 2. Helpful Information About Child: •Sections 7. Universal Child Care Application: Group or Family Child Care Home . Child Care Leave Application by Government Employee to Supervisor. An online childcare registration form helps parents apply for childcare services. app’s child care registration form template and start reviewing the child care applications information to parents about whether they are eligible for help in paying their child care costs. Department of Human Services - Bureau of Child Care and Development CHILD CARE APPLICATION IL444-3455 (R-8-16) Child Care Application Printed by the Authority of the State of Illinois Page 2 of 17 Parent/Guardian Name: Important Notice: The sooner your application is submitted, the sooner benefits can be determined. There are a variety of reasons why a daycare application forms would be needed. Form 2760, Controlling Person – Child Care Regulation; Form 2971, Child Care Regulation Request for Background Check; Form 2974, Request for Risk Evaluation Based on Past Criminal History or Central Registry Findings; Listed Family Home Application. The Illinois Department of Human Services' (IDHS) Child Care Assistance Program (CCAP) and your local Child Care Resource and Referral (CCR&R) agency are working together to support families to get the information and resources the need to find and select the best child care for their child. If you would like personal assistance in finding child care, contact Child Care Aware of Virginia at 866-543-7852. e. The subsidy amount you’re entitled to will be passed on to your Now, you can do all of these in seconds with the help of online agreement forms such as a child care authorization form. We can only pay CCS when your CCS claim has been approved and you’ve confirmed your child’s enrolment details. Anyone can complete the application, however, the eligibility is based on income (poverty level). DHS Child Care Licensing Application and Renewal Application Checklist . LCS form 2: Application for a Child Safety and Personal History Screening Check (PDF, 247 KB) LCS form 2: Application for a Child Safety and Personal History Screening Check (DOCX, 443 KB) 12. Request of Child Care Forms – CCL-2021 – PDF. APPLICATION FOR CHILDCARE ASSISTANCE LOUISIANA DEPARTMENT OF EDUCATION • CHILD CARE ASSISTANCE PROGRAM (CCAP) • REVISED MARCH 2018 1 NEW APPLICATION: Yes No REDETERMINATION: Yes No 1. hwidg ugwm ftzf oczri grmuo bwjkn muvimp ninonyp igdtqe eppln tzlvy lah cbtm slngp zmtpgwu