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CHILD CARE BLOCK APPLICANTS (CCBG) ONLY

CHILD CARE BLOCK APPLICANTS (CCBG) ONLY  

(Must be working, enrolled in formal training, attending school FT or PT job) (Three months only for job searching)

Work Verification (CCBG) APPLICANTS ONLY

ALL PERSONS 18 YEARS & OLDER MUST COMPLETE A FORM

**DO NOT LEAVE ANY BLANK SPACES**

Before starting this application please follow these steps:

1) Download the WORK VERIFICATION file here

2) Have your supervisor fill it out.

3)Upload it at the end of this form or email to: dhrd-help@cskt.org   

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List all persons residing in your household including yourself. At the end of this section you will be asked to specify the children needing CCBG.

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Monthly (submit documentation below)

Applicant

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Spouse/Co-Applicant

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Please upload any documents pertaining to you and your spouses wages i.e., wages/salary, child support, social security, self-employment, public assistance, educational (financial aid) or other financial information here.  to add multiple files click the 'Add More Files' button.
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APPLY FOR DHRD SERVICES ONLINE NOW!

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