CHILD CARE ASSISTANCE PROGRAM FORMS
You can now APPLY ONLINE!
Click this link- Get help paying for child care.
We encourage you to use the online application to speed up your processing.
Families can request forms for the Child Care Assistance Program (CCAP) using our Online Request form.
In addition, the following forms are available to download and print from our web site. You will need to have Adobe Reader installed on your computer to access and use these files.
Click here to download Adobe Reader.
Forms may take a minute to download please be patient.
- Child Care Application Packet – Download both forms.
Application, W-9 form - Wage Verification Form
- Telephone Billing Agreement
- Attendance Exemption Request
- Self- Employment Record
Forms should be mailed to: CCR&R 700 Logan College Dr.. Carterville, Illinois 62918.
Before mailing,
- make sure they are complete in full, are signed and dated
- make sure they are completed in ink
- Do not use white out
