901.01 Filing an Application SR 96-32, 08/96 (FAM-A)

To file an application for child care services, the individual must comply with all of the following:

• Return completed Form 800 to the District Office, NHEP team, or contract agency;

• Provide required verification of eligibility criteria;

• Participate in a face-to-face eligibility interview;

• Provide a completed Form 253, Child Care Provider Verification Form; and

• Provide a completed Form 251, Provider Enrollment and Registration, for each license-exempt noncontract provider that is not registered.

Exception: TANF financial assistance recipients who lose their grant due to increased earnings are not required to file a new application, as long as they meet all of the following criteria:

• Their income does not exceed the maximum limit; and

• They were receiving, or had applied for, child care services at the time they became ineligible for TANF financial assistance.

• Provide an AW-9, Alternate W-9 Form CIS, if direct provider payment is involved.

Staff must provide Form 249, Helpful Hints for Child Care Assistance, to each child care applicant.