APPLICATION FORMS |
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Application/Redetermination For Scholarship |
Application Instructions |
Employment Verification Statement |
Self-Attestation of Self Employment Form |
Online Classes Verification Letter |
Scholarship Extension Request Form |
Application Withdrawal Request |
Co-Payment Agreement |
CHANGE FORMS(Parents & Families) |
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Change Of Address Form |
Circumstance Change Form |
Provider Change Form |
Child Turning 13 |
Resubmit Missing Documentation |
APPEAL FORMS |
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Request For Hearing |
Appeal Withdrawal Request |
PROVIDER FORMS |
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Change Of Payment Address Form |
Voluntary Closure Days Request Form |
Child Care Attendance Sheet |
Child No Longer in Care Form |
DHS and Other Public Agencies |
DHS TCA Pending/MORA |
TCA-Approved MORA Referral |
Homelessness Coversheet |
Need help completing your Child Care Scholarship Application? Call 877-227-0125, Press 3, tell the person that answers the phone what you need assistance completing your child care application. | Need an Interpreter? | Need help? | ||
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የልጅ እንክብካቤ ስኮላርሺፕ ማመልከቻን ለመሙላት እርዳታ ይፈልጋሉ? ወደ 877-227-0125 ይደውሉ፣ 3ን ይጫኑ፣ ስልኩን ለሚያነሳው ሰው አስተርጓሚ እንደሚፈልጉ ይንገሩ | አስተርጓሚ ይፈልጋሉ? | እርዳታ ይፈልጋሉ? | |
Spanish |
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¿Necesita un intérprete? | ¿Necesita ayuda? | |
Arabic |
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هل أنت بحاجة إلى مترجم | هل أنت بحاجة إلى مساعدة؟ | |
French | Vous avez besoin d’aide pour remplir votre demande de bourse d’études pour la garde d’enfants ? Appelez le 877-227-0125, appuyez sur la touche « 3 », dites à la personne au bout du fil que vous avez besoin d’un interprète. | Besoin d’un interprète ? | Besoin d’aide? | |
Korean | 어린이 돌봄 장학금(Child Care Scholarship) 지원서를 작성하는 데 도움이 필요하신가요? 877-227-0125에 전화해 3번을 누르고 응답하는 담당자에게 통역가가 필요하다고 말씀해 주십시오. | 통역가가 필요하신가요? | 도움이 필요하신가요? | |
Russian |
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Нужен переводчик? | Нужна помощь? | |
Tagalog | Kailangan ng tulong sa pagkumpleto ng iyong Aplikasyon para sa Iskolarship sa Pangangalaga ng Bata? Tumawag sa 877-227-0125, pindutin ang 3, at sabihin sa taong sumagot ng telepono na kailangan mo ng tagasalin. | Kailangan ng tagasalin? | Kailangan ng tulong? | |
Vietnamese | Bạn cần trợ giúp để hoàn thành Đơn đăng ký Học bổng Chăm sóc Trẻ em? Hãy gọi theo số 877-227-0125, Nhấn phím 3, thông báo cho người tiếp nhận cuộc gọi biết bạn cần một thông dịch viên. | Bạn cần một thông dịch viên? | Bạn cần trợ giúp? | |
Yoruba | Ṣé o nílò ìrànlọ́wọ́ láti dáhùn àwọn ìbéèré inú Ìwé Ìbéèrè Fún Ẹ̀kọ́ Ọ̀fẹ́ Ìtọ́jú Ọmọ rẹ? Pe 877-227-0125, Tẹ 3, sọ fún ẹni tí ó gbé ẹ̀rọ ìbánisọ̀rọ̀ náà pé o nílò ògbifọ̀. | Ṣé o nílò ògbifọ̀? | Ṣé o nílò ìrànlọ́wọ́? | |
Chinese - Simplified | 需要帮助完成您的儿童照护奖学金申请吗?请致电 877-227-0125,按 3,告诉接听电话者您需要口译员。 |
需要口译员吗? | 需要帮助吗? | |
Chinese - Traditional |
需要協助完成您的兒童照護獎學金申請嗎?請致電 877-227-0125,按 3,告訴接聽電話者您需要口譯員。 |
需要口譯員嗎? | 需要協助嗎? |
Video: How to complete your scholarship application correctly (Families)
Video: How to complete your invoice correctly (Providers)
How can we help you? Child Care Scholarship Providers Inquiry Form
INFORMAL PROVIDERS
The forms below are samples only. If you are applying to become an Informal Provider or you need the paperwork to be renewed as an Informal Provider, please contact CCS Central 2 at 1-877-227-0125.
Translated Forms
(Select the language to access all of the translated documents in that language.)
- Amharic
- Arabic
- Espanol
- French
- Korean
- Russian
- Tagalog
- Vietnamese
- Yoruba
- Chinese - Simplified
- Chinese - Traditional