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The purpose of the policy bulletin is to introduce staff to two new child care forms, the Work Schedule For Child Care (FIA-1100) and the Employer’s Verification (FIA-1100a). As required by regulations and social service law, every applicant or participant who is requesting child care assistance must provide his/her work schedule to justify the hours of child care required. Every applicant/participant requesting child care (including Child Care in Lieu of Cash Assistance [CILOCA]) must complete and submit the FIA-1100 in order to receive or continue receiving child care payments. In addition, the Child Care Return Appointment form (W-273NN) has been revised to include the FIA-1100 and the FIA-1100a in the list of forms to be submitted at the child care return appointment.
The FIA-1100 and the FIA-1100a must be used at application and recertification and on the six month eligibility mailer. These forms must also be used for an applicant or participant who reports that he/she has new employment or a permanent change (decrease or increase) in work hours.
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