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Employment-
Proof of 6 weeks worth of income for all adults in the
household (recent paycheck stubs)
If paid weekly = 6weeks
If paid bi-weekly-3 pay stubs
If paid monthly = 2 pay stubs
OR
A completed Verification of
Income (VOI) form for each adult in the
Household
(New Employment
Only)
A letter from the employer
composed of the following information:
rate of pay, hours worked per week, pay frequency and
complete contact information of the employer(New
Employment Only)
A current tax return
If self employed
– a current year to date business ledger
School
–Current school schedule indicating that parent(s) or
Guardian(s) are Full-Time Students
Proof
of ALL unearned income:
Child Support (court
order, check stub, or print out)
Food Stamps (print out from
food stamp office)
SSI or SSA current letter of
benefits
Proof of State TANF child
only payment (print out from DCF)
Proof of State Relative Care
Giver Funds ( print out from DCF)
Proof of all other unearned
income
Birth Certificate for children receiving care
Social Security Cards for members of household
(non-submission of social security cards will not disqualify
you for services)
Current
picture ID for Parent(s) or Guardian(s)
Proof of Residency (Driver’s License listing current
911 address, utility bill, satellite bill)
Copy of Current Immunizations and Physical Record
Child
Care Authorization Form (Referral from Employment
Connections,
Department of Children & Families, Partnership for Strong
Families)
**IF YOU ARE A
PARENT THAT RECEIVES A REFERRAL FOR CHILD CARE UNDER WAGES,
TCC, TANF, OR PROTECTIVE SERVICES, PLEASE CONTACT YOUR
REFERRING CASEWORKER PRIOR TO COMING TO ELC-FG**
If you do not have all the
required materials at the time of you are seen, you will be
asked to return at a later date with all the necessary
paperwork.
Keep Your
Redetermination Date In Mind!!!
No
interview will take place more than two (2) weeks prior to
redetermination date.
PROVIDER LISTS:
RECORD UPDATES:

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