Eligibility Forms for Child Care Assistance

Families can apply for child care assistance or to re-certify their child care assistance eligibility using the forms below.

How to Fill Out and Submit Child Care Assistance Eligibility Forms

If a family is not currently eligible for child care subsidy, they should fill out the Child Care Assistance Application (CFWB-012) and any additional forms needed based on their reason for care and how they will verify income. Families should collect all required documentation as outlined below in Documentation Required for Child Care Eligibility (CFWB-022). For help completing the application, families can contact their program, email ccapplication@schools.nyc.gov, or call 311. New applicants can also create an account and submit an application online at MyCity (open external link).

Child care assistance applications with required documentation should be submitted to the family's child care program, Family Child Care Network, or sent to NYC Department of Education by email at ccapplication@schools.nyc.gov or mail:

New York, NY 10001

Eligibility Forms

Note: Many eligibility forms are in writable PDF format

• CFWB-012 Application for Child Care Assistance
  • Cover Page
  • Application (CFWB-012)
  • Instructions (CFWB-012A)
  • Submission Checklist (CFWB-012B)
  • Voter Registration form
  • CFWB-022 Documentation Required for Child Care Eligibility
    • CFWB-022 Documentation Required for Child Care Eligibility (Arabic)
    • CFWB-022 Documentation Required for Child Care Eligibility (Bengali)
    • CFWB-022 Documentation Required for Child Care Eligibility (Spanish)
    • CFWB-022 Documentation Required for Child Care Eligibility (Chinese)
    • CFWB-022 Documentation Required for Child Care Eligibility (Russian)
    • CFWB-022 Documentation Required for Child Care Eligibility (Korean)
    • CFWB-022 Documentation Required for Child Care Eligibility (Urdu)
    • CFWB-022 Documentation Required for Child Care Eligibility (Haitian Creole)
    • CFWB-022 Documentation Required for Child Care Eligibility (French)

    See Related Forms for additional forms needed as per the Application Instructions and New Application Checklist.

    Recertification Forms

    These forms will be mailed to families prior to their recertification date

    • CFWB-021 Household Information for Child Care Recertification
      • CFWB-021 Household Information for Child Care Recertification (Spanish)
      • CFWB-020 Income from Employment and Other Sources (Arabic)
      • CFWB-020 Income from Employment and Other Sources (Bengali)
      • CFWB-020 Income from Employment and Other Sources (Spanish)
      • CFWB-020 Income from Employment and Other Sources (Chinese)
      • CFWB-020 Income from Employment and Other Sources (Russian)
      • CFWB-020 Income from Employment and Other Sources (Korean)
      • CFWB-020 Income from Employment and Other Sources (Urdu)
      • CFWB-020 Income from Employment and Other Sources (Haitian Creole)
      • CFWB-020 Income from Employment and Other Sources (French)
      • CFWB-024 Recertification Signature Page (Arabic)
      • CFWB-024 Recertification Signature Page (Bengali)
      • CFWB-024 Recertification Signature Page (Spanish)
      • CFWB-024 Recertification Signature Page (Chinese)
      • CFWB-024 Recertification Signature Page (Russian)
      • CFWB-024 Recertification Signature Page (Korean)
      • CFWB-024 Recertification Signature Page (Urdu)
      • CFWB-024 Recertification Signature Page (Haitian Creole)
      • CFWB-024 Recertification Signature Page (French)
      • CFWB-022 Documentation Required for Child Care Eligibility (Arabic)
      • CFWB-022 Documentation Required for Child Care Eligibility (Bengali)
      • CFWB-022 Documentation Required for Child Care Eligibility (Spanish)
      • CFWB-022 Documentation Required for Child Care Eligibility (Chinese)
      • CFWB-022 Documentation Required for Child Care Eligibility (Russian)
      • CFWB-022 Documentation Required for Child Care Eligibility (Korean)
      • CFWB-022 Documentation Required for Child Care Eligibility (Urdu)
      • CFWB-022 Documentation Required for Child Care Eligibility (Haitian Creole)
      • CFWB-022 Documentation Required for Child Care Eligibility (French)

      See Related Forms for additional forms needed as per the Documentation Required for Child Care Eligibility.

      Related Forms

      (Families should use these as needed based on the documentation required for their application/recertification)

      • CFWB-015 Referral to Employer for Employee Income Information
        • CFWB-015 Referral to Employer for Employee Income Information (Spanish)
        • CFWB-026 Work Search Record (Arabic)
        • CFWB-026 Work Search Record (Bengali)
        • CFWB-026 Work Search Record (Spanish)
        • CFWB-026 Work Search Record (Chinese)
        • CFWB-026 Work Search Record (Russian)
        • CFWB-026 Work Search Record (Korean)
        • CFWB-026 Work Search Record (Urdu)
        • CFWB-026 Work Search Record (Haitian Creole)
        • CFWB-026 Work Search Record (French)
        • CFWB-027 Housing Questionnaire (Arabic)
        • CFWB-027 Housing Questionnaire (Bengali)
        • CFWB-027 Housing Questionnaire (Spanish)
        • CFWB-027 Housing Questionnaire (Chinese)
        • CFWB-027 Housing Questionnaire (Russian)
        • CFWB-027 Housing Questionnaire (Korean)
        • CFWB-027 Housing Questionnaire (Urdu)
        • CFWB-027 Housing Questionnaire (Haitian Creole)
        • CFWB-027 Housing Questionnaire (French)
        • CFWB-005 Vocational Education Training Verification (Arabic)
        • CFWB-005 Vocational Education Training Verification (Bengali)
        • CFWB-005 Vocational Education Training Verification (Spanish)
        • CFWB-005 Vocational Education Training Verification (Chinese)
        • CFWB-005 Vocational Education Training Verification (Russian)
        • CFWB-005 Vocational Education Training Verification (Korean)
        • CFWB-005 Vocational Education Training Verification (Urdu)
        • CFWB-005 Vocational Education Training Verification (Haitian Creole)
        • CFWB-005 Vocational Education Training Verification (French)
        • CFWB-045 A Attestations during COVID-19 Public Health Emergency for Application A Attestations during COVID-19 Public Health Emergency for Application (Arabic)
        • CFWB-045 A Attestations during COVID-19 Public Health Emergency for Application (Bengali)
        • CFWB-045 A Attestations during COVID-19 Public Health Emergency for Application (Spanish)
        • CFWB-045 A Attestations during COVID-19 Public Health Emergency for Application (Chinese)
        • CFWB-045 A Attestations during COVID-19 Public Health Emergency for Application (Russian)
        • CFWB-045 A Attestations during COVID-19 Public Health Emergency for Application (Korean)
        • CFWB-045 A Attestations during COVID-19 Public Health Emergency for Application (Urdu)
        • CFWB-045 A Attestations during COVID-19 Public Health Emergency for Application (Haitian Creole)
        • CFWB-045 A Attestations during COVID-19 Public Health Emergency for Application (French)

        Families Experiencing Homelessness

        Voter Registration Link

        Special Referrals

        There are a few instances where a different City agency determines a family's eligibility for child care assistance and the above forms do not apply:

        • Families applying for or receiving cash assistance must apply for child care through their Human Resources Administration (HRA) Job Center.
        • Families with an active Child Welfare case, preventive and/or protective, must contact their case worker to make a Child Care subsidy referral.
        • Employed foster parents must contact their case worker to make a Child Care subsidy referral to be eligible for child care assistance.

        All families, including families that may need one of the above referrals for child care assistance eligibility, can contact us by email at ccapplication@schools.nyc.gov or call 311 to get help with finding a program.

        Related Links

        • Early Childhood Educators
        • Provide Early Childhood Care and Education Services
        • Regional Need for Preschool Special Education
        • Early Childhood 2020-21 Resources
        • Eligibility Forms for Childcare Assistance
        • DOE Account Access for Early Childhood Educators