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.

Your family may qualify for child care assistance if your family's income falls below 85% of the State Median Income as reflected in the table below and you have an approved reason for seeking child care ("reason for care") which include:
  • You work 10+ hours per week
  • You are in an educational or vocational training program
  • You have been looking for work
  • You live in temporary housing (priority access)
  • You are attending services for domestic violence
  • You are receiving treatment for substance abuse
Family Size
Monthly Income Eligibility
Annual Income Eligibility
2
$6,156
$73,869.56
3
$7,604
$91,250.63
4
$9,053
$108,631.70
5
$10,501
$126,012.77
6
$11,949
$143,393.84
7
$12,221
$146,652.80
8
$12,493
$149,911.75
9
$12,764
$153,170.70
10
$13,036
$156,429.65
11
$13,307
$159,688.60
12
$13,579
$162,947.55
13
$13,851
$166,206.50
14
$14,122
$169,465.45
15
$14,394
$172,724.40
16
$14,665
$175,983.35
17
$14,937
$179,242.31
18
$15,208
$182,501.26

Note: Families who work 10+ hours per week must make at least minimum wage ($16/hour) to qualify for child care assistance.

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:

NYC DOE FWC
333 7th Ave 12th Floor

New York, NY 10001

Eligibility Forms 

Note: Many eligibility forms are in writable PDF format

 

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

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)

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.