Administration for Children's Services311Search all NYC.gov websites

Forms for Families

Note: All forms are in PDF format.

Child Care Application

This form is for families who are applying for child care for the first time.

Form #

Form Name

Purpose

CFWB-012, 012A, 012B Child Care Assistance Application Package

Application for child care assistance. Package includes:

  • Application (CFWB-012)
  • Instructions (CFWB-012A)
  • Submission Checklist (CFWB-012B)
  • Immigration Memo
  • Voter Registration Form
CFWB-012 (Español) Paquete de solicitud de asistencia para el cuidado infantil

Solicite ayuda para el cuidado de niños. El paquete incluye:

  • Página de portada
  • Aplicación (CFWB-012)
  • Instrucciones (CFWB-012A)
  • Lista de verificación de presentación (CFWB-012B)
  • Formulario de registro de votantes


Child Care Application - Supplemental Forms

These forms are for families who are applying for child care for the first time. They may be required to submit along with your child care application.

CFWB-005

Vocational, Education and Training Verification

Submit this form if your reason for care is school or vocational training attendance. This form documents your attendance at an approved education or training program.

CFWB-005 Translations: العربية | বাংলা | Español | 繁體中文 | Русский | 한국어 | Polski | اردو | Kreyòl ayisyen | Français

CFWB-015

Referral to Employer for Income Information

Use this form to verify your income if pay stubs are not available.

CFWB-015 (Español)

(Español) Remisión al Empleador para Información de Ingresos

Use este formulario para verificar sus ingresos si los recibos de sueldo no están disponibles.

CFWB-026

Work Search Record

Use this form if your reason for care is looking for work if you do not have a current benefits rate letter from New York State Unemployment Benefits.

CFWB-026 Translations: العربية | বাংলা | Español | 繁體中文 | Русский | 한국어 | Polski | اردو | Kreyòl ayisyen | Français

CFWB-027

Housing Questionnaire

Use this form if your reason for care is temporary housing.

CFWB-027 Translations: العربية | বাংলা | Español | 繁體中文 | Русский | 한국어 | Polski | اردو | Kreyòl ayisyen | Français

CFWB-058

Caretaker Attestation

For use by legal guardian, caretaker relative or other person who lives with the child.


Child Care Recertification

These forms are for families who already have child care assistance and are completing their annual recertification. These were mailed to you prior to your recertification date.

CFWB-022

Documentation Required for Child Care Eligibility

List of documents needed for child care subsidy recertification

CFWB-022 Translations: العربية | বাংলা | Español | 繁體中文 | Русский | 한국어 | Polski | اردو | Kreyòl ayisyen | Français

CFWB-020

Income from Employment and Other Sources

Household income update for child care subsidy recertification

CFWB-020 Translations: العربية | বাংলা | Español | 繁體中文 | Русский | 한국어 | Polski | اردو | Kreyòl ayisyen | Français

CFWB-021, CFWB-021 (Español)

Household Information for Child Care Recertification

Verify household information for child care subsidy recertification

CFWB-024

Recertfication Signature Page

Sign and submit this form to certify family's eligibility for continued receipt of child care subsidy

CFWB-024 Translations: العربية | বাংলা | Español | 繁體中文 | Русский | 한국어 | Polski | اردو | Kreyòl ayisyen | Français


Special Needs Rate Application

These forms are for families who already have child care assistance and want to apply for a special needs payment rate for their child care provider.

CFWB 001 Special Needs Payment Rate Application Use this form if you are a Parent or Guardian who currently receives an ACS voucher and you are interested in requesting a Special Needs payment rate.


Suspected Fraud – Referral Form

CFWB-009

Referral of Suspected Childcare Subsidy Fraud

Use this form to report child care subsidy fraud in NYC.

CFWB-009 Translations: العربية | বাংলা | Español | 繁體中文 | Русский | 한국어 | Polski | اردو | Kreyòl ayisyen | Français


Information for Families Experiencing Homelessness

N/A

Early Care & Education Programs for Families Experiencing Homelessness

For information on all early care and education services available for families in shelter or temporary housing.

Programs & Initiatives