Would you like to apply for Child Care Assistance?

 

CHILD CARE APPLICATION FORM

      Download Form in Multiple Languages Below:

• English
• Chuukese
• Yapese
• Kosraean

FOSTER CHILD CARE APPLICATION

     Download Form in Multiple Languages Below:

• English
• Chuukese
• Yapese
• Kosraean

Other Forms

• Employment Verification Form
• Employee Earnings Statement Form
• Self Employment Income Form

 

How it works:

• The application must be completed by all applicants seeking Child Care assistance.
• Anyone can complete the application, however, the eligibility is based on income (poverty level).
• All submitted applications are forwarded to the Eligibility Specialist who will review/process the application.  Once this is done, a "Notice of Action" is generated and mailed out to the applicant.