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The NACCRRA Application Form serves as a critical resource for military families seeking assistance with child care costs. This application provides a pathway for parents and guardians to apply for various programs, including Operation Military Child Care and Military Child Care in Your Neighborhood. Applicants must identify their affiliation with military service, choosing from options like active duty, reserve, or civilian status. Essential information required on the form includes details about the service member, household composition, and current child care provider, along with a clear schedule outlining the days and hours children will be in care. Additionally, the form facilitates the documentation of necessary supporting materials, such as military orders and income statements, to verify eligibility. The success of this application relies on accurate and comprehensive information, as well as adherence to the responsibilities outlined in the form, ensuring that families can access the financial support they need for quality child care. By following the outlined steps, military families can benefit from reduced child care fees, allowing them to focus on their service commitments while ensuring their children are well cared for.

Naccrra Application Example

1515 N. Courthouse Rd, 11th flr Arlington, VA 22201 Phone: 1-800-793-0324 x341 Fax: 703-341-4103 msp@naccrra.org

Military Fee Assistance Programs

PARENT ELIGIBILITY APPLICATION

You may also apply online at www.fap.americasteamforchildcare.org

Name of Parent/Military Sponsor: _____________________________________________________

ON THIS PAGE, COMPLETE ONLY ONE OF THE 5 BLOCKS BELOW

Operation Military Child Care (OMCC)

Check one:

Activated/Deployed National Guard or Reserve Service Member

Deployed Active Duty Soldier, Sailor, Airmen, or Marine unable to access child care on a military installation

Active Component (check one)

Guard/Reserve Component (check one)

Army

Army Reserve

Army National Guard

Navy

Naval Reserve

 

Marine Corps

Marine Corps Reserve

 

Air Force

Air Force Reserve

Air National Guard

OR

Military Child Care in your Neighborhood (MCCYN)

Active Duty Soldier, Sailor, Airmen, Marine, AGR Guard and Reserve unable to access child care on a military installation

Military civilian unable to access child care on a military installation

Active Duty (check one):  Army ASPYN (Army School age Program in Your Neighborhood)

Army Army National Guard Army Reserve Navy Marine Corps

Air Force Air Force Reserve Air National Guard Military Civilian

OR

Army Child Care in Your Neighborhood (ACCYN)

Active Duty (check one):

 

 

 

Army

Army Civilian Navy

Marine Corps

Air Force

ACCYN Project Locations (check one):

 

 

Fort Carson

Fort Bliss

Fort Bragg

Ft. Steward/Hunter Army Airfield Fort Drum Fort Belvoir

Fort Leonard Wood Fort Campbell Fort Riley Fort Sam Houston Fort Lewis USAG Miami Fort Hood, TX Fort Myer, VA

OR

Army School Age Program in Your Neighborhood (ASPYN)

Active Duty (check one):

 

 

 

 

Army

Army Civilian Navy

Marine Corps

Air Force

 

ASPYN Project Locations (check one):

 

 

 

Fort Carson

Fort Bliss

Fort Bragg

Ft. Steward/Hunter Army Airfield Fort Drum Fort Jackson

Fort Benning ฀Fort Campbell

Fort Riley

Fort Lewis Fort Hood, TX

 

 

 

 

OR

 

 

Wounded, Ill and Injured

 

 

 

 

Active Component (check one)

 

Guard/Reserve Component (check one)

Army

 

 

Army Reserve

 

Army National Guard

Navy

 

 

Naval Reserve

 

 

Marine Corps

 

 

Marine Corps Reserve

 

Air Force

 

 

Air Force Reserve

Air National Guard

Version 3 (10/28/11)

 

 

 

 

Page 1 of 5

Parent/Military Sponsor Name: __________________________________________________

Type of Application (check one):

Initial Application

Change of information, eligibility criteria, status, etc.

Check any that apply (If applicable):

 

 

Recruiter

MEPCOM

ROTC

 

 

 

 

 

 

 

Check any that apply:

 

 

Sole Parent

Legal Guardian

Dual Military Sponsor

Dual Working Parents

Yes No

Yes No

Yes No

Yes No

 

 

 

 

SECTION A. HOUSEHOLD INFORMATION

1.SERVICE MEMBER (SPONSOR) CONTACT INFORMATION: REQUIRED

______________________ ________________________

_____

_____/_____/_____

Last Name

First Name

 

M.I.

Date of Birth

_________

(________) __________-_____________

(________) _________-_____________

Grade

Duty Telephone #:

 

Home Telephone #:

 

__________________________________________________________________

 

Street Name and Number

 

 

 

 

________________________________

_____________________

_________________________

City

 

State

 

 

Zip Code

Is this the address where child resides? Yes No

Email Address (used for all communication): ___________________________________________________________

Installation assigned to: ________________________________________________________

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Parent/Military Sponsor Name: __________________________________________________

 

1a. SERVICE MEMBER SPOUSE CONTACT INFORMATION:

 

 

 

______________________

________________________

_____

_____/_____/_____

 

 

Last Name

 

First Name

 

M.I.

Date of Birth

 

_________

(________) __________-_____________

(________) _________-_____________

 

 

Grade

Telephone #:

 

Home Telephone #:

 

__________________________________________________________________________________

 

 

Street Name and Number

 

 

 

 

 

________________________________

_____________________

_________________________

 

 

City

 

 

State

 

Zip Code

 

 

Email Address: ________________________________________________________

 

 

 

 

 

 

 

 

 

 

1b . LEGAL GUARDIAN CONTACT INFORMATION (IF APPLICABLE):

 

 

 

 

 

 

 

 

______________________

________________________

_____

_____/_____/_____

 

 

Last Name

 

First Name

 

M.I.

Date of Birth

 

(________) __________-_____________

 

(________) _________-_____________

 

 

Duty Telephone #:

 

 

Home Telephone #:

 

__________________________________________________________________________________

 

 

Street Name and Number

 

 

 

 

 

________________________________

_____________________

_________________________

 

 

City

 

 

State

 

Zip Code

 

Email Address: ________________________________________________________

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Page 3 of 5

Parent/Military Sponsor Name __________________________________________________

SECTION B. CHILD CARE PROVIDER INFORMATION

Provider/Program Name:

(As is appears on license/registration)

Provider/Program Mailing Address:

___________________________________________________

__________________________

__________________

_________

Street Name and Number

City

 

State

Zip Code

County in which care is provided: _____________________________________

 

 

 

Provider/Program telephone number: (________) _________-_____________

E-Mail Address: __________________________

 

 

 

 

 

 

Second Provider (if needed)

 

 

 

 

Provider/Program Name:

 

 

 

 

 

(As is appears on license/registration)

 

 

 

Provider/Program Mailing Address:

 

 

 

 

___________________________________________________

__________________________

__________________

_________

Street Name and Number

City

 

State

Zip Code

County in which care is provided: _____________________________________

 

 

 

Provider/Program telephone number: (________) _________-_____________

E-Mail Address: __________________________

 

 

Date Care Begins: _____/_____/_____

Date Care Ended (if applicable): _____/_____/_____

NAMES OF CHILDREN TO BE CARED FOR THROUGH MILITARY SUBSIDY PROGRAMS

Name of Child(ren)

Date of Birth

Gender (M/F)

Provider/Program Name

1.

2.

3.

4.

SCHEDULE OF CARE

Name of Child(ren)

 

Days Children are in Care (Check all that apply)

 

Hours Children are in Care

 

SUN

MON TUE WED THU FRI SAT

 

From

To

 

1.

 

 

 

 

 

 

2.

 

 

 

 

 

 

3.

 

 

 

 

 

 

4.

 

 

 

 

 

 

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Page 4 of 5

PARENT/LEGAL GUARDIAN CERTIFICATION: (Please read carefully; check all boxes, sign and date in

designated area)

In addition to this form I have submitted:

(Fax, mail, or email these documents to NACCRRA.)

Service Member’s military orders (activated/deployed only)

Leave and Earning Statements (LES) for the service member

Spouse’s most recent pay stub (one month) or proof of enrollment in school

Child(ren)’s birth certificate or self certification statement

ICERTIFY THAT:

I am the parent or legal guardian of the child(ren) listed and I may be required to submit proof of such, in order to receive reduced fee child care.

All information submitted in this application is true and correct.

All family income of the spouse and service member sponsor is reported.

IUNDERSTAND THAT:

This information is being given in order to determine child care fees to be paid.

This information is being given in connection with military funds used to reduce the cost of child care.

Military and NACCRRA officials may verify any information on this application at any time they deem necessary.

Deliberate misrepresentation of this information may result in prosecution under applicable State and Federal laws. See 18 U.S.C/ Section 1001.

Any misrepresentation or falsification of information that is in any way related to reduced child care fee, may result in reclaiming any money paid for child care and may be punishable under criminal law.

Eligibility for the reduced child care fee is determined based on Military eligibility requirements.

NACCRRA MILITARY PROGRAMS may only pay up to the state’s local market rate for child care fees.

I must select a qualified child care provider/program that meets the qualifications necessary to participate in the NACCRRA MILITARY PROGRAMS. The NACCRRA MILITARY PROGRAMS will not reimburse any child care provider/program who is not qualified.

I must give NACCRRA MILITARY PROGRAMS a minimum of two (2) weeks notice when changing child care

providers/programs by submitting a CHANGE OF PROVIDER/PROGRAM FORM and a new PROVIDER/PROGRAM INFORMATION AND

REGISTRATION FORM.

I may use more than one provider/program; however, NACCRRA MILITARY PROGRAMS will not reimburse more than one provider/program for the same period of time, for the same child.

If I use a back-up child care provider/program, NACCRRA MILITARY PROGRAMS must reimburse the primary child care provider/program first.

NACCRRA MILITARY PROGRAMS will only make payments directly to the child care provider/program, and not to me. I understand that I must disclose any income including: Long-term disability benefits Voluntary salary deferrals Retirement or other pension income Other Federal and State benefits, etc. Quarters subsistence and other allowances appropriate for the rank and status of military whether received in cash or in kind Anything else of value, even if not taxable,

that was received for providing services

I understand that I may not receive fee assistance for child care both from the Military Branch of Service and NACCRRA at the same time.

If I am an Army family, I understand that I am only eligible to receive 1 Army subsidy per child and may not receive subsidies from GSA and NACCRRA simultaneously.

PARENT/LEGAL GUARDIAN RESPONSIBILITIES AND CERTIFICATION

I [parent or legal guardian] understand/agree (Please check all boxes):

That reduced fee child care for which I am eligible is based on my income, family size, age of child(ren), the provider/program’s location, and the type of child care I select; if there are any changes to my situation, I must make NACCRRA MILITARY PROGRAMS aware of those changes.

To authorize attendance records on a timely basis, to ensure the provider/program may receive timely reimbursement.

To submit proof of my continued eligibility for this program when requested.

To notify NACCRRA MILITARY PROGRAMS at least fifteen (15) calendar days before ending child care services. In cases of emergency please notify NACCRRA MILITARY PROGRAMS immediately (1-800-793-0324).

That the provider/program indicated on this form must meet all state requirements to provide child care services, and that NACCRRA MILITARY PROGRAMS is under no obligation to begin reimbursements before the provider/program has been determined qualified.

I have read all of the above and understand its content. I also understand that non-compliance with any of the

above may result in termination of my reduced child care fee and of my participation in the NACCRRA MILITARY PROGRAMS and I may be required to re-pay any money paid on my behalf

 

 

 

 

/

/

Parent/Legal Guardian (please print) Parent/Legal Guardian Signature

 

Date

 

Version 3 (10/28/11)

 

 

Page 5 of 5

Form Characteristics

Fact Name Description
Eligibility Criteria This application is primarily for military parents or guardians who need assistance in securing child care, often due to deployment or military duties.
Application Types Applicants can check whether they are submitting an initial application or updating information regarding their status or eligibility.
Required Documentation Along with this form, parents must submit military orders, pay stubs, and birth certificates for each child to verify their eligibility for subsidies.
Governing Laws This application process is governed by military welfare and support regulations, including Title 10 U.S. Code and applicable state laws regarding child care assistance.

Guidelines on Utilizing Naccrra Application

Completing the NACCRRA Application form is an important step in applying for military fee assistance programs for child care. Follow the steps below to ensure that you fill out the form accurately and completely.

  1. Gather Necessary Information: Collect all required documents including military orders, pay stubs, and children's birth certificates.
  2. Parent/Military Sponsor's Name: Write your full name in the designated space at the top of the application.
  3. Select Eligibility Block: Choose one of the five blocks regarding the military program that applies to your situation.
  4. Service Member Information: Provide your contact information, including your name, date of birth, and contact details.
  5. Spouse Information: If applicable, fill in details for your spouse, including their name and date of birth.
  6. Legal Guardian Information: If there’s a legal guardian for the children, include their information as well.
  7. Child Care Provider Information: Enter the name and address of your child care provider. If you have a second provider, fill in their information too.
  8. Child Information: List the names and dates of birth of the children needing care.
  9. Schedule of Care: Indicate the days and hours the children will be in care.
  10. Certification: Review the items for the certifications section. Check all applicable boxes to confirm your understanding and agreement.
  11. Signature: Sign and date the application in the designated area at the bottom of the page.
  12. Submit the Form: Send your completed form and any required documentation via fax, mail, or email to the NACCRRA office.

What You Should Know About This Form

What is the Naccrra Application form used for?

The Naccrra Application form is designed for military families seeking fee assistance for child care services. This form allows parents or military sponsors to apply for various programs that provide financial support for child care, including options for active duty service members and those unable to access care on military installations.

Who is eligible to apply using this form?

Eligibility primarily depends on the service member’s status. Active duty service members, as well as members of the National Guard and Reserve, can apply for assistance. Additionally, legal guardians and military civilians who face challenges accessing child care can also seek assistance through the Naccrra program.

What information do I need to provide on the application?

Applicants must fill out personal information such as names, contact details, and military affiliation. They also need to provide household details, including information about children requiring care. Furthermore, documentation such as military orders, leave and earning statements, and birth certificates may be required for eligibility verification.

How do I submit the Naccrra Application form?

The application can be submitted via mail, fax, or email to NACCRRA. The mailing address is 1515 N. Courthouse Rd, 11th Flr, Arlington, VA 22201. For fax submissions, use the number 703-341-4103. Additionally, you can contact them by phone at 1-800-793-0324 ext. 341, or send an email to msp@naccrra.org for any inquiries.

What happens after I submit the application?

Once the application is submitted, NACCRRA will review the information provided. They may reach out for further documentation or clarification. Approval or denial of assistance will typically take place within a reasonable timeframe, after which you will be informed of the outcome through the contact information you provided on the application.

Can I change my application information after it has been submitted?

Yes, applicants can change their information. If your circumstances change, such as a change in child's care provider or updates in your personal status, you must submit a Change of Provider/Program Form along with the new Provider/Program Information and Registration Form to ensure that NACCRRA has up-to-date details.

Common mistakes

Filling out the NACCRRA Application form can be a straightforward process, but certain mistakes can hinder eligibility. One common error is leaving out important personal information. Applicants may assume that their contact details or type of military service will be clear enough, but any missing data can lead to delays or denials. It's crucial to complete every required field accurately to ensure that the application can be processed smoothly.

Another frequent mistake involves selecting the wrong program or service option. With multiple options available based on military status, applicants might inadvertently choose an option that does not apply to their situation. This can result in wasted time and frustration. Carefully reviewing each choice and ensuring that the selected program aligns with their current military status is essential before submission.

Many applicants overlook the importance of supporting documentation. Incomplete submissions often lack necessary items such as the Service Member’s military orders or proof of income. Failure to include these documents can cause delays in processing or may lead to a denial of assistance. Ensuring that all required documents are gathered beforehand can facilitate a smoother application process.

Lastly, misunderstanding deadlines and notification requirements can be problematic. Applicants sometimes forget to notify NACCRRA when their situation changes, whether it's a change in employment status or childcare provider. Keeping the organization informed helps maintain eligibility and ensures that the application remains active. Staying organized and adhering to deadlines will contribute to a more efficient process overall.

Documents used along the form

The NACCRRA application form is an essential component for military families seeking child care fee assistance. Alongside this form, several other documents facilitate the application process and help verify eligibility. Below is a list of these documents, along with a brief description of each.

  • Service Member’s Military Orders: This document is required for activated or deployed service members. It establishes the status of the military sponsor and helps prove the need for child care assistance.
  • Leave and Earnings Statement (LES): This monthly statement provides a detailed overview of the service member's income, deductions, and entitlements. It is necessary to assess the family's financial situation.
  • Spouse’s Most Recent Pay Stub or Proof of School Enrollment: This document validates the income of the military spouse or shows enrollment in an educational program. It may contribute to understanding the household’s financial needs better.
  • Child(ren)’s Birth Certificate or Self-Certification Statement: Providing a birth certificate helps verify the ages of the children needing child care. Alternatively, a self-certification statement can be used if obtaining a copy is challenging.
  • Change of Provider/Program Form: If a child care provider changes, this form must be submitted alongside a new provider’s information to ensure continued assistance without interruption.

By submitting these accompanying documents, applicants can help streamline the process and ensure that their application is processed without unnecessary delays. Thorough preparation can lead to a smoother experience for military families seeking assistance with child care costs.

Similar forms

  • Child Care Subsidy Application: Similar to the NACCRRA application, a Child Care Subsidy Application provides parents with an opportunity to request financial assistance for child care expenses based on specific eligibility requirements. Both documents require personal and household information, economic details, and specifics about the child care provider.

  • Military Dependent Enrollment Form: This form is utilized by military dependents to access various benefits. Like the NACCRRA application, it provides essential information regarding family members and their eligibility for benefits, ensuring that military families receive the necessary support during deployments and other service-related challenges.

  • Financial Aid Application (FAFSA): The FAFSA is used by families seeking financial assistance for educational purposes. Just as the NACCRRA application evaluates financial data and household composition, the FAFSA assesses economic situations to determine eligibility for financial aid.

  • State Child Care Assistance Program Application: This document is designed for families seeking state-funded child care assistance. Similar to the NACCRRA application, it requires information about the family's income and the child care provider, ensuring that those in need can access affordable care while meeting specific eligibility criteria.

Dos and Don'ts

When filling out the NACCRRA application form, it is crucial to carefully adhere to the following guidelines. This will help ensure that your application is processed smoothly and promptly. Below is a list of dos and don’ts to consider.

  • Do read the entire application form carefully before starting. Familiarity with the requirements can save you time.
  • Do provide accurate and complete information. Incomplete or false information can lead to delays or denial of your application.
  • Do check one box in the eligibility section only. Selecting more than one option can cause confusion and may result in processing delays.
  • Do ensure that all required documentation is attached before submission. Lack of necessary documents can halt the application process.
  • Don't leave any sections blank unless instructed. Every section is essential for determining your eligibility.
  • Don't assume that your application will be approved without proper documentation. Verification is essential, and missing elements may lead to reapplication.
  • Don't wait until the last minute to submit your application. Allow time for processing and avoid potential childcare gaps.
  • Don't forget to keep copies of your submitted application and all supporting documents. These records can be crucial if any discrepancies arise.

By following these guidelines, you enhance your chance of a smooth application process for military childcare assistance. Take action promptly to avoid unnecessary complications.

Misconceptions

1. Only Active Military Members Can Apply

Many believe that only active-duty military personnel can use the Naccrra Application form. In reality, eligible participants also include National Guard, Reserve members, and military civilians who cannot access childcare on military installations.

2. You Must Apply in Person

Some think they must fill out the form in person and submit it on-site. However, you can apply online or send the completed form via fax or email. This offers convenience and flexibility.

3. The Application is the Only Requirement

People often assume that completing the application form is sufficient for assistance. In fact, you must provide additional documents, such as military orders and income verification.

4. Assistance is Automatically Granted

Many applicants mistakenly believe that submitting the form guarantees financial assistance. Approval depends on eligibility requirements and is not guaranteed upon application submission.

5. All Childcare Providers Qualify

There's a misconception that any childcare provider can be reimbursed. Only providers who meet specific qualifications are eligible for reimbursement through the NACCRRA programs.

6. Changing Providers is Simple

Some think switching childcare providers is straightforward. However, you must give at least two weeks' notice and complete additional paperwork to ensure a smooth transition.

7. You Can Receive Multiple Subsidies

It's common for applicants to believe they can receive multiple childcare subsidies at once. However, if you qualify for assistance from both NACCRRA and the Military Service, you can only choose one funding source at a time.

8. You Only Need to Report Income Once

Many applicants assume that reporting income is a one-time event. It's essential to notify NACCRRA of any changes to your financial situation, as this can impact your eligibility.

9. The Program Will Pay You Directly

Lastly, some believe that the NACCRRA MILITARY PROGRAMS will reimburse them directly for childcare expenses. Instead, payment is made directly to the childcare provider, not to the applicant.

Key takeaways

Here are some key takeaways about filling out and using the NACCRRA Application form:

  • Understand the Application Options: You will be choosing from different programs, such as Operation Military Child Care and Military Child Care in Your Neighborhood. Each program targets specific demographics, so it’s essential to identify which one applies to your situation.
  • Complete Necessary Sections: Complete only one of the five blocks on the form related to your eligibility. Each block corresponds to your category, like Active Component or Guard/Reserve Component.
  • Provide Accurate Parent Information: Make sure to enter your name and contact information accurately. This includes not only your details but also those of your spouse or legal guardian if applicable.
  • Child Care Provider Information: List your chosen child care provider’s details. Ensure that the providers are qualified to receive reimbursement through the program.
  • Submit Required Documents: Don’t forget to attach necessary documentation such as your military orders and leave and earnings statements. This paperwork helps verify your eligibility for assistance.
  • Be Aware of the Fee Structure: Understand that the program may only cover fees up to your state’s local market rate. This means you need to keep track of any potential costs not covered.
  • Notify of Changes: If your circumstances change—like moving or changing providers—inform NACCRRA as soon as possible to ensure your benefits continue without interruption.
  • Reimbursements Go to Providers: Remember that payments will go directly to the childcare provider, not to you. Make arrangements accordingly with your selected caregiver.
  • Certification and Responsibilities: You will need to certify the accuracy of the information you’ve provided and understand your responsibilities, including maintaining ongoing eligibility and timely communication with NACCRRA.
  • Emergency Contacts: In case of emergencies related to child care arrangements, you must notify NACCRRA immediately. They provide a direct phone line for such situations.

Understanding these takeaways will help you navigate the application process with confidence and clarity.