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determine the family’s eligibility and may include but are not limited to inter-agency staff, health/mental health care professionals, or employers who supply pertinent information about the family.

Families have primary responsibility for providing documentary evidence to support statements. Families have primary responsibility to resolve any unclear or inconsistent information that contradicts the application, statement(s) made by the family, or other information received by the Designee. When questionable information from another source contradicts statements made by the family, the family must be provided an opportunity to clarify and verify their circumstances.

When a family has been notified in writing of information needed to determine or receive Child Care Assistance (CCA), the Division of Public Assistance (DPA) Adverse Action Calendar is used to establish the due date the information must be received. This due date is provided in the notice. The family may submit the requested information in person, via fax, scan and email, or via mail.

Family hard copy case files must be maintained in a consistent manner within the Designee’s office, with the most current forms on top and the permanent forms on the bottom.

Each hard copy family file shall contain the following information:

1.A complete family application, annually or at the time of reapplication, if there is a lapse in participation for more than thirty (30) calendar days; 2.A copy of each parent’s government issued photo identification (permanent forms). This is only required one (1) time unless the parent changes theirname;

3.A print out of the System for Award Management (SAM) search results for the initial application and renewals, for each parent in the family and for each known name used by the parent, such as maiden or previously used married names;

4. Verification of child support received or paid for the initial application and renewals, if applicable;

5. A copy of proof of age (permanent forms) for children in the family younger than thirteen (13) years of age for whom care is being requested, if not verified through ICCIS. This is only required one time unless the child’s name changes;