You must also submit the required supporting documentation (see reverse side of the Self-Employment Worksheet).ĬCB-6010-006 School/Vocational Training Verification Form Submit this form if you are self-employed. Twelve (12) weeks of pay stubs must also be submitted. If you are working more than one job, a separate form (or written statement) must be completed for each job. Attach additional pages if needed.ĬCB-6010-004 Confidential Inquiry on EmploymentĮach parent who is working must have their employer complete this form (OR submit a written statement) verifying the days & hours usually worked and wages earned. Fill out a separate section for EACH parent that is absent from the household. Only complete this form if the parent(s) of any child(ren) in need of child care is(are) NOT in the household.
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Have your landlord or other professional person who knows you and your family complete this form verifying your residency and household composition.ĬCB-6010-003 Absent Parent Information Form List of the types of documentation you can submit as proof of identity, address, legal residence in U.S., income, etc.
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How to complete the OCFS-6025 Application for Child Care AssistanceĬCB-6010-018 Documentation Required for Child Care Eligibility If your family is applying for public assistance or other benefits including child care services, you MUST use the Statewide Common Application (LDSS-2921), which can be found in the State Forms section below. This application may be used if your family is ONLY applying for child care services. If you believe an individual has received welfare assistance improperly, please take the time to share this information with us.
Telephone directory and available services. Please print or download form to your computer.įollow the instructions on each form and print or type legibly.ĭirectory for Public Access to Social Services Programsĭirectory for Public Access to Social Services Programs. Para obtener una lista completa de formularios y solicitudes comunes de la Oficina de Servicios para Niños y Familias (OCFS) de NYS en otros idiomas además del inglés, por favor haga clic aquí "Para obtener una lista completa de formularios y solicitudes comunes de la Oficina de Asistencia Temporal y por Discapacidad (OTDA) del Estado de Nueva York en otros idiomas además del inglés, por favor haga clic aquí.įor a complete listing of Common Forms and Applications from the NYS Office of Children and Family Services (OCFS) in languages other than English, please click here. To view all the local Department of Social Services forms, please click on the appropriate link.įor a complete listing of Common Forms and Applications from the NYS Office of Temporary and Disability Assistance as well as the following state forms and applications in languages other than English,please click here.
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