Forms for Managing Financial Assistance

Attendance Forms

Open DOCX file, 18.25 KB, for Approved Break In Care -- March 1, 2019 (DOCX 18.25 KB)

Open DOCX file, 373.46 KB, for Attendance Notification Agreement -- March 1, 2019 (revised March 18, 2019) (DOCX 373.46 KB)

Open DOCX file, 25.96 KB, for Excessive Absence Medical Waiver -- March 1, 2019 (DOCX 25.96 KB)

Open DOCX file, 20.92 KB, for Excessive Absence Warning Notice -- March 1, 2019 (DOCX 20.92 KB)

Open DOCX file, 20.74 KB, for Excessive Unexplained Absence Warning Notice -- March 1, 2019 (DOCX 20.74 KB)

General Forms

Open PDF file, 301.79 KB, for EEC Subsidy File Checklist -- March 1, 2019 (PDF 301.79 KB)

Open DOCX file, 18.68 KB, for Household Composition -- March 1, 2019 (DOCX 18.68 KB)

Open DOCX file, 21.89 KB, for Household Income Statement -- March 1, 2019 (DOCX 21.89 KB)

Open DOCX file, 19.1 KB, for Last Day of Employment: Employer Certification -- March 1, 2019 (DOCX 19.1 KB)

Open DOCX file, 21.82 KB, for Last Day of Employment: Parent Certification -- March 1, 2019 (DOCX 21.82 KB)

Open DOCX file, 20.77 KB, for Non-Payment of Parent Fees Warning Notice -- March 1, 2019 (DOCX 20.77 KB)

Open DOCX file, 17.51 KB, for Parent Choice -- March 1, 2019 (DOCX 17.51 KB)

Open DOCX file, 23.46 KB, for Parent Contact Information -- March 1 ,2019 (DOCX 23.46 KB)

Open DOCX file, 25.39 KB, for Parent Information Sheet -- March 1, 2019 (DOCX 25.39 KB)

Open DOCX file, 26.59 KB, for SMI Calculation Sheet -- March 1, 2019 (DOCX 26.59 KB)

Children with Disabilities/Special Needs Flexible Funding

Open DOC file, 56.5 KB, for Children with Disabilities/Special Needs Flexible Funding Application Request (DOC 56.5 KB)

Open DOC file, 55 KB, for Disabilities/Special Needs Flexible Funding Budget Request (DOC 55 KB)

Open PDF file, 124.13 KB, for Disabilities/Special Needs Flexible Funding Checklist (PDF 124.13 KB)

Open PDF file, 388.31 KB, for Guidance for Reviewing Requests for Accommodation and Special Needs Flexible Funding Requests for Children with Disabilities (PDF 388.31 KB)

Denial Notice

Open DOCX file, 20.94 KB, for Denial Notice -- March 1, 2019 (DOCX 20.94 KB)

Employment Verification Form

Open DOCX file, 50.15 KB, for Employment Verification Form -- March 1, 2019 (DOCX 50.15 KB)

Financial Assistance Agreement

Open DOCX file, 22.04 KB, for Financial Assistance Agreement -- March 1, 2019 (DOCX 22.04 KB)

Homeless Forms

Open DOCX file, 17.44 KB, for Homeless Approval Form -- March 1, 2019 (DOCX 17.44 KB)

Open DOCX file, 18.36 KB, for Homeless Residency Survey -- March 1, 2019 (DOCX 18.36 KB)

Parent Transportation Request Form

Open DOCX file, 19.79 KB, for Parent Transportation Request Form -- March 1, 2019 (DOCX 19.79 KB)

Report of Self Employment Earnings Form

Open DOCX file, 75.38 KB, for Report of Self Employment Earnings Form -- March 1, 2019 (DOCX 75.38 KB)

Request for Review

Open DOCX file, 18.31 KB, for Request for Review -- March 1, 2019 (DOCX 18.31 KB)

Self Employment Packet Cover Letter

Open DOCX file, 18.31 KB, for Self Employment Packet Cover Letter -- March 1, 2019 (DOCX 18.31 KB)

Temporary Change Form

Open DOCX file, 19.23 KB, for Temporary Change Form -- March, 1, 2019 (DOCX 19.23 KB)

Termination Notice

Open DOCX file, 21.45 KB, for Termination Notice -- March 1, 2019 (DOCX 21.45 KB)

Verification of Disability/Special Need for Child

Open DOCX file, 35.44 KB, for Verification of Disability/Special Need for Child -- March 1, 2019 (DOCX 35.44 KB)

Verification of Disability/Special Need of Parent

Open DOCX file, 30.1 KB, for Verification of Disability/Special Need of Parent -- March 1, 2019 (DOCX 30.1 KB)

Open DOCX file, 23.32 KB, for Variance Request: Special Need of Parent Extension -- March 1, 2019 (DOCX 23.32 KB)

Open DOCX file, 21.3 KB, for Initial Special Need of Parent Cover Letter -- March 1, 2019 (DOCX 21.3 KB)

Open DOCX file, 21.33 KB, for Special Need of Parent Renewal Cover Letter -- March 1, 2019 (DOCX 21.33 KB)