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The following worksheet allows you to estimate eligibility for child care assistance. However, actual eligibility must be determined by a caseworker.
Print a copy of this page and fill in the income information requested below:
| Monthly family gross income from employment | $ |
| Monthly net profit from
self-employment *Depreciation is considered countable income |
$ |
| Monthly gross child support income | $ |
| All other income sources | $ |
Total Income |
$ |
| Minus any child support YOU pay | $ |
Total |
$ |
The Division of Child Care Services does not count SSI disability, VA disability, Student Financial Aid, GI Bill, Foster Care allotments, Earned Income Tax Credit, or Rent/Utility allowances as income.
Compare your household income with the chart below. You may be eligible for assistance if your income is within these limits.
Family Size |
Adjusted Monthly
Income Based on 200% of Federal Poverty Level Effective March 1, 2008 |
| 2 | $2,334 |
| 3 | $2,934 |
| 4 | $3,534 |
| 5 | $4,134 |
| 6 | $4,734 |
| 7 | $5,334 |
| each additional member | add $600 |
Please send a completed application for an accurate assessment of your case. You can obtain an application by visiting any local office or One-Stop Career Center or by one of the following: