Transcription of APPLICATION FOR CHILD CARE ASSISTANCE
{{id}} {{{paragraph}}}
OCFS-6025 (Rev. 07/2016) DO NOT WRITE IN SHADED AREAS OF THIS APPLICATION PAGE 1 NEW YORK STATE OFFICE OF CHILDREN AND FAMILY SERVICES APPLICATION FOR CHILD care ASSISTANCEATTENTION: This APPLICATION is used to apply ONLY for Category 2 or 3 CHILD care ASSISTANCE . To apply for Public ASSISTANCE or other benefits, including Category 1 CHILD care ASSISTANCE , you must use the Statewide Common APPLICATION (LDSS-2921). CASE NAME CASE # REGISTRY # OFFICE UNIT WORKER APP DATE / / DISTRICT CASE TYPE: 40 Services Transaction Type: New Open Reopen Recert Disposition: Denial Reason Code Withdrawal SECTION 1.
To apply for Public Assistance or other benefits, including Category 1 Child Care Assistance, you must use the
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document:
{{id}} {{{paragraph}}}
Medical Card Application Form - Over 70 Years, Social, Payments, Pensions Social Security Payments, Pensions and Annuities, New Jersey, Social security, UNITED STATES NAVY, Sickness and Disability Schemes in the Netherlands, SOCIAL SECURITY REPRESENTATIVE, Housing Benefit, FAILURE TO PAY EMPLOYEES CONTRIBUTION TO THE EMPLOYEE, And Non-Pay Incentives, Performance and, And Non-Pay Incentives, Performance and Motivation