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203 ECC Card

The applicant must indicate if a new or additional ECC card is needed.

Checklist Provides a checklist for the applicant that includes required verifications that may be needed to process their application for Child Care Subsidy.

Appendix K. Child Care Waitlist Screening Form Instruction Number 032-05-0547-02-eng (03/17)

Purpose of Form To screen customers for placement on a child care Waitlist.

USE OF FORM The LDSS worker will use the information on this form to screen applicants onto the waitlist. Once this screening for the waitlist is complete in the VaCMS, the worker will add the family to the Waitlist.

COPIES/DISPOSITION Two. File the original in the case record and give a copy to the applicant.

Appendix L. Child Care Waitlist Update Form Instructions

NUMBER 032-12-0132-00-eng (08/00)

PURPOSE OF FORM To request updated household information from an applicant currently placed on the LDSS waitlist for Child Care Subsidy and Services.

USE OF FORM To obtain current household demographic and income information from an applicant that is needed to complete a quarterly waitlist update.

COPIES/DISPOSITION A copy is saved in the VaCMS for the case record.

INSTRUCTIONS FOR PREPARING THE FORM A Child Care Waitlist Update form is used to gather updated applicant information related to their waitlist screening. This form is used by the Child Care Worker to update the applicant’s waitlist information quarterly and to determine the applicant’s continued need, eligibility, and desire to be placed on the LDSS waitlist. The Child Care Worker must fill in the amount of the family’s gross monthly