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Access registration packets, required forms, and eligibility details available for download or online submission.

Child Care Application

Supporting Documents

Pay Stubs

Twelve consecutive pay stubs (if you get paid on a weekly basis) orSix (6) consecutive pay stubs (if you get paid bi-weekly) 

01

Children

If you have children under 18 years of age, we will need a copy of each child’s birth certificate and social security card reflecting his/her social security number 

02

Rent

A recent rent statement reflecting your monthly rent expense (must be within three months) 

03

Con Edison Bill

A recent Con Edison bill (must be within three months) 

04
Note: if you do not own or lease your own apartment, you will need to complete the Housing Questionnaire, CFWB-027 and provide the following:
Your pay stubs (see #1 above)
1

Your children's birth certificate and social security card (see #2 above)

2

The homeowner/renter's household lease/deed

3

The homeowner/renter's Con Edison bill

4

Mail you receive at that address, proving that you live there

5

GUIDANCE ON COMPLETING EDY APPLICATIONS​

  1. If you get paid by cash, first complete the Request to Employer for Employee Income Verification form – (CFWB-015) and follow the steps. Then, complete form CFWB-012, Application for Child Care Assistance.
    1. All supporting documents required (see list of supporting documents).
  2. If you are a student, first complete the Vocational/Educational Training Verification form – CFWB-005 and follow the steps. Then, complete form CFWB-012, Application for Child Care Assistance.
    1. All supporting documents required, except #1 (see list of supporting documents).
  3. If you have an HRA case, we will complete the Request for Enrollment of Child with Provider form – CS-274W(E) – for you to submit to HRA.
    1. No supporting documents required.
  4. If you are job hunting, first complete a Work Search Record form (CFWB-026) and follow the steps. Then, complete form CFWB-012, Application for Child Care Assistance.
    1. All supporting documents required, except #1 (see list of supporting documents).
  5. If you are self employed, first complete the Self Employment Information Income Attestation form, CFWB-031 and follow the steps. Then, complete form CFWB-012, Application for Child Care Assistance.
    1. All supporting documents required (see list of supporting documents).
  6. If you have an award letter, your need for extended care must be justified. Complete form CFWB-012, Application for Child Care Assistance.
    1. All supporting documents required, except for #1 (see list of supporting documents).

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