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Montana Department of Public Health & Human Services July 7, 2018 Human & Community Services Page 3 of 4 family is subsequently determined ineligible. However, if the household provides false information for the purpose of receiving child care assistance from a presumptive eligibility determination, the household will be responsible for repaying the overpayment. A family is presumed eligible only when they complete the following forms: 1. Best Beginnings Child Care Scholarship Application form (Pages 1-5); 2. A completed authorization to release information form; and 3. The Child Care Service Plan or the name of the child care provider on the application sufficient to set up the authorization of services. When a waiting list is not in effect, families will be presumed eligible during the 30-calendar day application period while application information is verified. Complete Application Packet Contents The Best Beginnings Child Care Scholarship Packet is considered complete when the following portions of the application are present [if presumptive eligibility, see that section above]: Best Beginnings Child Care Scholarship Application Form • Date Stamp • Name / Address • Date of Birth • Gender • Signed and dated • Rights and Responsibilities Form initialed • Release of Information Form • Child Support Compliance Checklist Form • Work Verification Form • Training Verification Form or documentation showing enrolled credits and receipt of fees paid [if applicable] • Self-Employment Income Verification Form [if applicable] • Child Care Service Plan Work Verification Form The Work Verification Form is required for each working household member, completed and signed by each employer. If a family member cannot obtain work verification from their employer, the last two months of consecutive wage stubs will be accepted with a self-statement of their work schedule. Applicants who are self-employed will use the Self-Employed Income Verification form. See the Early Childhood Services Bureau [ECSB] Procedure Handbook for processing. Training Verification Form A Training Verification Form or documentation showing enrolled credits are required for each household member participating in a School/Training program. School/Training may be verified by completing this form and having it signed by the training institution at initial application or by providing a copy of the student’s enrolled credits and receipt of fees paid. Social Security Numbers & Birth Certificates A Social Security Number is not required for the Best Beginning Child Care Scholarship. A birth