Child Care Eligibility Application Forms

(Haga clic aquí para la versión en español.)

The New Jersey Office of Child Care Operations strives to continually improve the application process for parents who are seeking child care services for their children - as well as for service providers.

Click on the links below for the most up-to-date application forms, along with links to instructions, certification forms, co-pay schedules and payment rates.

Important Note: Forms are stored in Adobe Acrobat PDF format. To view and print PDF documents, you must have a PDF viewer (Adobe Acrobat Reader), which is available free from Adobe.

Click here to download the latest version of Acrobat Reader.

Child Care and Early Education Service Eligibility Application

This form is required for all applicants and
co-applicants seeking to apply for or renew a
child care subsidy through a Child Care Resource and Referral Center or contracted child care slot in a Center Based Contract (CBC) center; it includes the new Parent/Applicant Certification form (see page 3, Section F).

(Providers please note: A newly-signed Certification Form must also be attached to all CARES redetermination applications, as part of the redetermination process.)

Child Care and Early Service Eligibility Application Certification Form

This form is part of the child care application and is used for all applicants for subsidized child care services, including those at Center Based Contract (CBC) child care centers.

The Applicant Instructions Page contains instructions on how to complete the application forms.

Parents/Applicants: If you need help in completing your application, please contact your local Child Care Resource and Referral agency.

Providers: please continue to include your agency's name and return address in the "Address Reply To" section on page one of the application.

To access the Child Care Co-Pay Schedule (for family size 2 to 7, PDF version) click here.

To access the Child Care Co-Pay Schedule (for family size 8 to 12, PDF version) click here.

To access the SFY 2008 Maximum Child Care Payment Rates, click here.