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______________________________________________________________________________ DIVISION OF WELFARE AND SUPPORTIVE SERVICES Child Care Policy Manual Upon hire of a staff member who has an open DWSS case, the Child Care Agency must submit the Applicant for Employment DWSS Program Fraud Check form 6499-AP, which includes the hiring manager, Agency, date, applicant name, and last four numbers of the staff member’s social security number. This form must be submitted to caserecordsrequest@dwss.nv.gov, so the case can be flagged as “Confidential” prior to the staff gaining access to DWSS system applications. If, after employment, the employee files for DWSS benefits, they are required to report to their DWSS worker and supervisor that they have applied for benefits as a staff member of the Child Care Program, so their case may be locked as “Confidential”. 112 Application Types Requests for an application for child care subsidy may be made verbally, in writing, in person, or through a representative. Upon request, every person will be mailed or given an Application for Child Care Assistance. Every person must be provided the opportunity to apply for subsidy benefits. Applications are also available to be completed and submitted electronically via Access NV. Clients will be assisted with completing the application if such help is requested. DISTINCTION BETWEEN AN INQUIRY AND AN APPLICATION An inquiry is when an individual asks about program eligibility, but does not submit a signed application to be evaluated for eligibility. An application not signed by the client or authorized representative is an inquiry only and must be returned for signature. The inquiry must not be entered into the child care system. An application for subsidy benefits is made when an individual completes, signs, and applies for Child Care Assistance to a Child Care office. 112.1 Signature Validation An application (electronic, faxed, or paper) with the original signature of the applicant or authorized representative is required. The following signatures are considered an original signature for applications and all required forms: • Original signature on a paper application or form submitted directly to the Child Care office either in person, through the mail or in a local office drop box; or • A signature on a faxed or scanned application or form; or • An electronic signature when the application is submitted through Access NV, and other electronic sources (i.e. Docu-sign). The individual signing the application must be able to be held legally responsible for the statements made on the application. A minor cannot sign the application since they cannot be held legally responsible. Exception: A minor who has been emancipated (refer to MS 200); or a minor receiving NEON services. By signing the application, the client is confirming they have provided accurate and truthful information. If it is discovered the client has provided misleading or inaccurate information, the case manager must evaluate the case for an Intentional Program Violation (IPV). Refer to MS 700 for further information on IPVs. 100-Program Overview [5] MTL 01/24 July 1, 2024