Child Care Subsidy Program Application Form
The Child Care Subsidy Program Application Form assists HUD employees in applying for child care subsidies. This program helps eligible employees reduce the costs of child care for their children. Complete the application accurately to ensure timely processing and support.
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How do I fill this out?
Filling out the Child Care Subsidy Program Application Form is straightforward and simple. Begin by gathering your financial documents and ensuring eligibility requirements are met. Follow the specific instructions provided in the application to complete each section accurately.

How to fill out the Child Care Subsidy Program Application Form?
1
Gather necessary documents including pay statements and tax returns.
2
Complete the applicant information section with accurate details.
3
List the children and their child care providers on the form.
4
Double-check your application for completeness before submission.
5
Mail your completed application to the specified contractor.
Who needs the Child Care Subsidy Program Application Form?
1
Federal employees seeking child care assistance for eligible children.
2
Employees with a total family income of $69,999 or less requiring financial aid.
3
Children aged 13 or under needing licensed child care.
4
Families with disabled children aged 18 or under looking for subsidies.
5
Parents who need to verify employment status for subsidy eligibility.
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What are the instructions for submitting this form?
To submit the Child Care Subsidy Program Application Form, mail the completed document to First Financial Associates at HUD CCSP, 7079 Hayden Quarry RD, Lithonia, GA 30038-2506. Ensure you have attached all required documents such as recent pay statements and tax returns. For inquiries, you can reach them at (800) 453-8151. Make sure to send in your application during the designated enrollment period for timely processing.
What are the important dates for this form in 2024 and 2025?
Important dates for the Child Care Subsidy Program include the annual enrollment period and submission deadlines, which may vary each year. Be sure to check the specific dates for 2024 and 2025 during the application process to ensure timely submission. Staying informed will help secure your subsidy assistance.

What is the purpose of this form?
The purpose of the Child Care Subsidy Program Application Form is to assist eligible HUD employees in obtaining financial support for child care services. By offering financial assistance, the program aims to alleviate some of the costs associated with child care, making it more accessible to families. This support is vital for helping employees maintain their work-life balance while ensuring their children receive quality care.

Tell me about this form and its components and fields line-by-line.

- 1. Mother/guardian Information: Includes home address, phone, employer name, work phone, and grade.
- 2. Father/guardian Information: Similar to mother/guardian fields, including personal and employment details.
- 3. Child Information: Details regarding enrolled children including name, DOB, SSN, and care provider.
- 4. Family Income: Captures total adjusted gross family income and any existing subsidies.
- 5. Certification Statement: A declaration stating that the provided information is accurate and true.
What happens if I fail to submit this form?
Failing to submit the Child Care Subsidy Program Application Form will result in a lack of financial support for child care services. Applications that are incomplete or do not meet requirements will be returned to the applicant for correction. This delay could jeopardize the ability to access timely child care assistance.
- Incomplete Application: An application that is missing details will not be processed.
- Lack of Documentation: Failure to attach required documents can lead to denial.
- False Information: Submitting false information can result in loss of assistance.
How do I know when to use this form?

- 1. Applying for Child Care Subsidy: Use this form to apply for financial assistance under the Child Care Subsidy Program.
- 2. Updating Previous Applications: Submit this form if there are changes in income or family details.
- 3. Verification of Eligibility: Use this form to prove eligibility for state or local subsidy assistance.
Frequently Asked Questions
How do I access the Child Care Subsidy Form?
You can download the Child Care Subsidy Program Application Form directly from our website.
Can I edit the PDF after downloading?
Yes, you can edit the PDF using our PrintFriendly editor before downloading it again.
What documents do I need to fill out the application?
You will need recent pay statements, tax returns, and child care provider information.
Is there a fee for submitting this form?
There are no fees associated with submitting the Child Care Subsidy Program Application Form.
When will I receive my subsidy award?
Awards are communicated within a specified timeframe after submission.
What should I do if my application is incomplete?
An incomplete application will be returned, and you will need to provide the missing information.
Can both parents apply from different Federal agencies?
No, subsidy assistance cannot be awarded for the same child by more than one agency.
How do I stay informed of any changes?
You must inform the contractor within 10 days if any of the information changes.
What is the weekly subsidy amount based on?
The weekly subsidy amount is determined by your family's income and child care costs.
How do I contact for further queries?
You can contact First Financial Associates at (800) 453-8151 for any further questions.
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