APPLICANTS NAME: _______________ DATE: ____________________ VERIFICATIONS NEEDED (for all household members) TO PROCESS YOUR CHILD CARE APPLICATION ___Identification showing your legal name (all adults)* ___Social Security Cards for everyone in the home* ___Birth Certificates for everyone in the home * * We need to view the above original documents in our office and stamp the copies (originals viewed) for all household members. ___Children Immunizations ___Divorce Degree or other Documents stipulating support or maintenance ___Proof of Income for all members of the household, to include but not limited to Wages/Salary, Social Security, SSI, VA, Annuities, Dividends, Royalties or any other income to household ___ If you are receiving Child Support please provide verification. You must have a Child Support case open with our Child support Specialist (call 303-621-3203) this is mandatory to receive CCCAP. ___Check Stubs for the past 30 days ___ Copy of your work schedule (days/ hours you are working) ___Letter of employment ___Name, address and phone number for Child Care Provider you will be using from our list ___Application for Child Care Assistance ___Client Responsibility Form (in the Application) ___ Verification of residency For Questions please call 303-621-3195
APPLICANTS NAME: _______________ DATE: ____________________ VERIFICATIONS NEEDED (for all household members) TO PROCESS YOUR CHILD CARE APPLICATION ___Identification showing your legal name (all adults)* ___Social Security Cards for everyone in the home* ___Birth Certificates for everyone in the home * * We need to view the above original documents in our office and stamp the copies (originals viewed) for all household members. ___Children Immunizations ___Divorce Degree or other Documents stipulating support or maintenance ___Proof of Income for all members of the household, to include but not limited to Wages/Salary, Social Security, SSI, VA, Annuities, Dividends, Royalties or any other income to household ___ If you are receiving Child Support please provide verification. You must have a Child Support case open with our Child support Specialist (call 303-621-3203) this is mandatory to receive CCCAP. ___Check Stubs for the past 30 days ___ Copy of your work schedule (days/ hours you are working) ___Letter of employment ___Name, address and phone number for Child Care Provider you will be using from our list ___Application for Child Care Assistance ___Client Responsibility Form (in the Application) ___ Verification of residency For Questions please call 303-621-3195
CCCAP%20Verification%20check%20list%20Dec%202016.docx