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Title 13: Social Service Resources Page 4 Iowa Department of Health and Human Services Employees’ Manual Chapter G: Child Care Assistance Determining Eligiblity Revised June 14, 2024 Application Procedure: There are three forms a person may use to apply for CCA: ▪ Child Care Assistance Application, 470-3624 or 470-3624(S), or ▪ Financial Support Application, 470-0462 or 470-0462(S), or ▪ Child Care Assistance Review, 470-4377(M), or 470-4377(S) when returned after the end of the certification period. To be considered valid, the application must contain a legible name and address and must be signed. Accept applications made by: ▪ The applicant, ▪ The applicant’s authorized representative, or ▪ Someone acting responsibly for the applicant, when the applicant is incompetent or incapacitated. EXCEPTIONS: The following do not have to complete a child care application: ▪ Parents receiving court-ordered services. ▪ Families receiving protective child care services. ▪ Foster parents needing child care services for foster children. ▪ Participants in PROMISE JOBS-approved activities. ▪ Families receiving FIP. If a family was receiving CCA before losing FIP or PROMISE JOBS eligibility, redetermine eligibility for the family using form 470-4377(M) or 470-4377(S), Child Care Assistance Review. NOTE: Eligibility for CCA continues for a FIP family who does not get a grant because the grant amount is under $10. When a family applies for CCA, provide the applicant with the brochure Comm. 62 or Comm. 62(S), Child Care Assistance. The following sections give more information on: ▪ Date of application ▪ Effective date of assistance ▪ Voter registration procedures ▪ Priority for child care services ▪ Placement on a waiting list when Child Care Assistance is not available ▪ Administration of Child Care Assistance waiting lists