Onondaga County, NY · Onondaga County
Application for Child Care Assistance
This application lets Onondaga County households request non-guaranteed child care assistance by providing household, child, activity, and income information.
At a glance
- Issued by
- City of Onondaga County · Onondaga County, Onondaga County, New York
- Notarization
- Not required: file this form without a notary.
- Official source
- onondaga.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this New York State Office of Children and Family Services application to request non-guaranteed child care assistance through the Social Services District. It asks about household members, children needing care, work or school schedules, income, and circumstances affecting the household. Applicants must read the notices, check the agreement box, and sign; the application also includes voter registration materials.
Who needs it
A household seeking non-guaranteed child care assistance should complete this application with information about its children, household, activities, and income.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This application is signed without a notary; its included voter registration application has a sworn-or-affirmed statement, but no notary is specified.
How to submit this form
- 1
Download the Application
Download the Child Care Assistance Application PDF.
- 2
Complete the Application
Answer all required questions about your household, children, activities, and income.
- 3
Review and Sign
Read the notices, check the agreement box, and sign and date the application.
- 4
Submit to the County
Submit it to the county department named on the form; check the county website for current contact details.
Frequently asked questions
- Do I need a notary for the Child Care Assistance Application?
- No. The child care application is signed without a notary. Its included voter registration application has a sworn-or-affirmed statement, but the document does not specify notarization.
- How do I submit the Child Care Assistance Application?
- Submit it to the county department named on the form; check the county website for current contact details.
- What information does this application ask for?
- It asks about household members, children needing care, work, training or school schedules, household income, and circumstances such as other child care funding.
- Is this application for guaranteed child care assistance?
- No. The form says it is for non-guaranteed Child Care Assistance only. It directs people seeking other benefits, including guaranteed assistance, to use the New York State Application for Certain Benefits.