Documents to complete your Child Care and Development Fund or On My Way Pre-K Online Application

• Provide a document, dated within the past 60 days, that includes your name, street address and city or zip code.
  • Examples: Driver’s license, pay stub, lease, utility bill, or a piece of mail postmarked within the past 60 days.

• A picture ID is required for the applicant only.
  • Examples: driver’s license, work ID, student or school ID.
• Provide verification of identity for all children and co-applicant, if present.
  • Examples for children: birth certificate, hospital-issued certificate, or birth confirmation with date of birth listed.
  • Examples for co-applicant: driver’s license, work ID, student or school ID, birth certificate, or vehicle registration.

If you are working for an employer,

• Provide one paycheck stub dated within the past 60 days.
• If you have a new job and haven’t received a paycheck yet, have your employer complete the new hire verification form.
• If paystubs are not available, or if you are paid by business/personal check, complete the Wage Detail form. Copies of the front and back of cancelled check(s) for each pay date will be needed.
• If you are paid in cash, have your employer complete the Cash form (OMWPK families only)
• If you receive tips on your paystub, complete the Tipped Employee worksheet with the paystub.
  If you are self-employed,
• Provide a profit and loss form for the previous calendar month AND provide a copy of your most recent tax transcript, which can be obtained online at www.irs.gov.

If you are looking for a job,

• Complete a Job Search form. (Only available to new applicants/co-applicants)

If you are attending training or education,

• If you are enrolled in college or trade school,
  • Provide either your school schedule or a statement  from the school on official letterhead with your name, school name, and semester dates.
• If you are attending middle or high school,
  • Complete a CCDF secondary education student verification form.

If you are a foster parent,

• Provide your Foster Care License and verification the child is a ward of the State.
  • Examples: placement letter, per diem statement with child’s name, a letter from DCS caseworker.

These documents for your case should be uploaded to your online application under “document upload”

• If you would like to do a search of eligible programs near you or on your route to work, please visit https://www.in.gov/fssa/childcarefinder/
• If you would like help finding an eligible On My Way Pre-K program, please contact  your On My Way Pre-K County Project manager for help
• If you need help locating a CCDF approved child care provider, you may call Child Care Resource and Referral at 800-299-1627.
• Your chosen provider must complete the Provider Information form.  Please upload this form to your online application.

• Please provide documents that show all your additional sources of income.
  • Examples: current Social Security and/or SSI benefit letter, current TANF benefit letter.
• If you receive unemployment, go to the following website: https://uplink.in.gov/CSS/CSSClaimHomePage.htm. Find the document featuring the same date in your packet and print all unemployment amounts received. Please upload this document to your online application.
• If you receive Social Security Benefits/ SSI, please upload to your online application a copy of your current year benefit letter.
• If you receive TANF, you must upload to your online application a TANF benefit letter received within the last 12 months.

Complete the Parent/Applicant worksheet and sign the parent’s rights/ obligations on the last page. Please upload this form to your online application. (Electronic signatures accepted)

Families must sign a Hoosier Works Child-Care Card form agreement as this will be what you use to log attendance at your chosen program. These will be used by both On My Way Pre-K families and CCDF families. Please upload your completed form to your online application.

If you have any questions about this form, please contact an eligibility specialist. Click here to find your local eligibility office.

**For On My Way Pre-K applications only**

Complete the On My Way Pre-K Parent Agreement and upload to your online application.