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What if my circumstances change after I submit my application?

The NACCRRA Application Form is a crucial document designed for military families seeking financial assistance for child care. This form helps determine eligibility for various programs, ensuring that families receive the support they need during challenging times. If you are ready to begin the application process, please fill out the form by clicking the button below.

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The Naccrra Application form is a crucial resource for military families seeking financial assistance for child care. It includes essential sections that help determine eligibility for various programs, such as Operation Military Child Care and Military Child Care in Your Neighborhood. Parents or military sponsors must provide personal information, including their name, contact details, and service branch. Additionally, the form requires applicants to specify the type of application—whether it's an initial request or a change in status. Information about household dynamics, such as whether the applicant is a sole parent or dual military sponsor, is also collected. Furthermore, details about the child care provider, including the provider's name and address, must be submitted. To ensure eligibility, applicants are required to attach supporting documents, such as military orders and income statements. The certification section emphasizes the importance of accurate information, outlining the consequences of misrepresentation. By completing this form, military families can access vital child care resources, helping them balance their responsibilities at home and service commitments.

1515 N. Courthouse Rd, 11th flr Arlington, VA 22201 Phone: 1-800-793-0324 x341 Fax: 703-341-4103 [email protected]

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

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

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

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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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

SCHEDULE OF CARE

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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
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Click for Naccrra Application File

Fact Name	Description
Application Purpose	The NACCRRA Application form is designed for military families seeking financial assistance for child care services, ensuring that eligible parents can access affordable care for their children.
Eligibility Criteria	Eligibility is determined based on the military status of the parent or guardian, including active duty, activated National Guard, or Reserve members. Specific blocks must be completed based on the service member's status.
Required Documentation	Applicants must submit various documents, including military orders, leave and earnings statements, and proof of income, to verify eligibility for reduced child care fees.
Governing Law	This application is governed by federal laws related to military family support, as well as state-specific regulations regarding child care services, which may vary by location.

Completing the NACCRRA Application form is an important step in accessing military fee assistance for child care. This application requires specific information about the parent or military sponsor, the children needing care, and the child care provider. Follow these steps carefully to ensure that all necessary details are accurately provided.

Begin with Parent/Military Sponsor Information: Write your full name in the designated space. Indicate if you are the sole parent, legal guardian, or part of a dual military family.
Select the Appropriate Program: Choose one of the five blocks that apply to your situation regarding child care access. Mark the corresponding checkbox.
Complete Household Information: Fill in your contact details, including your last name, first name, middle initial, date of birth, and telephone numbers. Provide your address and email address for communication.
If Applicable, Include Spouse Information: If you are married, fill out the contact information for your spouse, including their name, date of birth, and telephone numbers.
Provide Legal Guardian Information: If there is a legal guardian involved, fill in their contact information as well.
List Child Care Provider Information: Write the name and mailing address of the child care provider. Include their telephone number and email address, if available.
Detail the Children to be Cared For: For each child, provide their name, date of birth, gender, and the name of the provider/program they will attend.
Indicate the Schedule of Care: Specify the days of the week and hours that each child will be in care. Check all applicable boxes.
Certification: Carefully read the certification section. Check all boxes that apply to confirm your understanding of the responsibilities and requirements.
Sign and Date the Application: Ensure you sign and date the form in the designated area to validate your application.

After completing the application, gather any required documents such as military orders and pay stubs. You may submit these documents via fax, mail, or email to NACCRRA. This will help facilitate the processing of your application and ensure you receive the assistance you need.

The NACCRRA application form is designed for military families seeking financial assistance for child care services. It helps determine eligibility for various military fee assistance programs, including Operation Military Child Care (OMCC) and Military Child Care in Your Neighborhood (MCCYN). By completing this form, families can access reduced fee child care options that meet their needs.

Eligibility varies based on military status and specific circumstances. Generally, the following groups can apply:

Activated or deployed National Guard or Reserve service members.
Active duty soldiers, sailors, airmen, or marines unable to access child care on military installations.
Military civilians facing similar challenges.
Families with dual military sponsors or dual working parents.

Each applicant must provide relevant documentation, such as military orders or proof of income, to support their application.

When filling out the NACCRRA application form, you will need to provide several key pieces of information, including:

Your name and contact details as the parent or military sponsor.
Details about your service member status, including branch and duty information.
Information about your child care provider, including their name, address, and contact information.
Names and birth dates of the children requiring care.

Make sure to complete all sections accurately to avoid delays in processing your application.

You can submit the NACCRRA application form in several ways. Options include:

Faxing the completed form to 703-341-4103.
Emailing the form and required documents to [email protected].
Mailing the application to NACCRRA at 1515 N. Courthouse Rd, 11th Flr, Arlington, VA 22201.

For convenience, you can also apply online at the designated website.

After you submit your application, NACCRRA will review it to determine your eligibility for child care fee assistance. This process may take some time, so be patient. If additional information or documentation is needed, NACCRRA will reach out to you. You can also check the status of your application by contacting their office directly.

If your situation changes—such as a change in income, employment, or child care needs—you must inform NACCRRA as soon as possible. It’s important to keep them updated to ensure that your eligibility and the amount of assistance you receive are accurate. You may need to submit a change of information form along with any supporting documentation.

Filling out the NACCRRA Application form can be a straightforward process, but many people make common mistakes that can delay or derail their application. Understanding these pitfalls can help ensure a smoother experience.

One frequent error is failing to provide complete contact information. Applicants often overlook the requirement to fill in all sections, especially the email address. This information is crucial for communication regarding the application status. If this section is left blank, it can lead to delays in processing.

Another mistake involves not checking the appropriate boxes for eligibility. The form includes several options for military status, and applicants sometimes select more than one or fail to select any. This can cause confusion and may result in an application being deemed incomplete.

Additionally, many applicants forget to include required documentation. The application specifies that military orders, leave and earning statements, and proof of income must accompany the form. Missing these documents can lead to immediate rejection of the application.

Some people mistakenly assume that the application can be submitted without signatures. The certification section requires the parent or legal guardian's signature to confirm the accuracy of the information provided. An unsigned application will not be processed.

Another common oversight is incorrect or inconsistent information. For instance, applicants may enter different names or dates of birth in various sections of the form. Inconsistencies raise red flags and can lead to additional scrutiny or rejection.

People often neglect to specify the correct type of application. Whether it's an initial application or a change in information, this designation is vital for proper processing. Failing to indicate the type can cause significant delays.

In the household information section, applicants sometimes forget to list all relevant family members. This oversight can affect eligibility and the determination of the reduced fee. It’s essential to include all pertinent information about the household structure.

Another common mistake involves selecting child care providers that do not meet the necessary qualifications. The form requires applicants to choose providers that are licensed and registered. Using unqualified providers can lead to disqualification from the program.

Lastly, many applicants do not read the terms and conditions carefully. Understanding the responsibilities and requirements outlined in the application is crucial. Misunderstanding these terms can result in non-compliance and potential loss of benefits.

By being aware of these common mistakes, applicants can improve their chances of successfully navigating the NACCRRA Application process. Careful attention to detail can make a significant difference in the outcome.

The NACCRRA Application form is a crucial document for military families seeking child care fee assistance. Along with this application, several other documents are typically required to ensure eligibility and facilitate the application process. Below is a list of these important forms and documents.

Service Member’s Military Orders: This document verifies the service member's active duty status and deployment, which is essential for determining eligibility for fee assistance.
Leave and Earnings Statement (LES): This statement provides a detailed account of the service member's pay and deductions, helping to assess household income and financial need.
Spouse’s Most Recent Pay Stub: This document reflects the spouse’s current income, which is necessary for calculating the family's total income and eligibility for assistance.
Child(ren)’s Birth Certificate: A copy of the birth certificate confirms the identity and age of the child(ren) for whom care is being requested, ensuring compliance with program requirements.
Self-Certification Statement: In cases where a birth certificate is not available, this statement can serve as an alternative to verify the relationship between the parent and the child(ren).

These documents collectively support the application process, ensuring that military families receive the assistance they need for child care. Proper submission of these forms can significantly impact the approval and timely processing of the application.

Child Care Subsidy Application: Like the NACCRRA Application form, this document collects personal information about the parent or guardian, details about the child, and the chosen child care provider. Both forms aim to determine eligibility for financial assistance in securing child care services.
Military Family Assistance Application: This application is similar in that it requires information about military service, household composition, and financial status. Both forms are designed to assess eligibility for benefits available to military families.
Head Start Application: The Head Start application gathers information on family income and child details, much like the NACCRRA form. Both documents aim to qualify families for subsidized child care and educational programs.
State Child Care Assistance Application: This document also collects household information, income verification, and child care provider details. It serves a similar purpose in determining eligibility for state-funded child care support.
WIC Program Application: The Women, Infants, and Children (WIC) program application requires income and household information. Both applications focus on supporting families with children, though WIC specifically addresses nutritional needs.
Food Assistance Program Application: This application, like the NACCRRA form, collects personal and financial information to determine eligibility for assistance. Both are aimed at helping families in need.
Temporary Assistance for Needy Families (TANF) Application: This document requires similar household and financial information to assess eligibility for cash assistance. Both applications are geared towards supporting low-income families.
Housing Assistance Application: This application gathers details about household income and family composition, similar to the NACCRRA form. Both are used to determine eligibility for support services.
School Enrollment Form: This form collects information about the child and family, including contact details and residency. Like the NACCRRA application, it is essential for accessing services related to the child's education.

Things You Should Do:

Complete only one of the five blocks on the application form.
Provide accurate contact information for yourself and any legal guardians.
Submit all required documentation, such as military orders and birth certificates.
Check all applicable boxes regarding your eligibility and household information.
Notify NACCRRA of any changes in your situation as soon as possible.
Ensure the child care provider meets all necessary qualifications.

Things You Shouldn't Do:

Do not leave any required fields blank.
Avoid submitting false or misleading information.
Do not forget to sign and date the application.
Refrain from using unqualified child care providers.
Do not assume eligibility without confirming your status and requirements.
Do not wait until the last minute to notify NACCRRA about changes in child care providers.

Misconceptions about the NACCRRA Application form can lead to confusion and potentially hinder access to important child care resources for military families. Here are ten common misconceptions, along with clarifications to help you navigate the application process more effectively.

Misconception 1: The NACCRRA Application is only for active-duty military members.

This application is available for various military statuses, including activated National Guard and Reserve members, as well as military civilians who cannot access child care on installations.

Misconception 2: You can only apply for one type of child care assistance.

Applicants can choose from multiple programs, such as Operation Military Child Care, Military Child Care in Your Neighborhood, and Army Child Care in Your Neighborhood, depending on their eligibility.

Misconception 3: The application process is overly complicated.

While the application requires specific information, it is designed to be straightforward. Completing the required sections and providing necessary documentation will streamline the process.

Misconception 4: Only one parent needs to complete the application.

Both parents or legal guardians should be involved in the application process, especially in dual military or dual working parent situations, to ensure all relevant information is submitted.

Misconception 5: You can submit the application without supporting documents.

Supporting documents, such as military orders and pay stubs, are crucial. Submitting these documents is essential for verifying eligibility and processing the application.

Misconception 6: The application is only for new child care providers.

The application can also be used for changes in information or eligibility criteria, allowing families to update their existing arrangements.

Misconception 7: You will receive direct payments from NACCRRA.

NACCRRA makes payments directly to the child care provider, not to the applicant. This ensures that funds are used specifically for child care costs.

Misconception 8: All child care providers qualify for reimbursement.

Only providers that meet specific qualifications set by NACCRRA are eligible for reimbursement. Families must select qualified providers to receive assistance.

Misconception 9: You can receive assistance from multiple programs simultaneously.

Military families cannot receive fee assistance from both the Military Branch of Service and NACCRRA at the same time. Understanding this limitation is vital for proper planning.

Misconception 10: Changes in circumstances do not need to be reported.

It is essential to inform NACCRRA of any changes in family income, household size, or child care needs. Failure to do so may affect eligibility and assistance levels.

Name of Child(ren)

Days Children are in Care (Check all that apply)

Hours Children are in Care

MON TUE WED THU FRI SAT

Filling out the NACCRRA Application form can be straightforward if you keep these key points in mind:

Complete Only One Block: Choose one of the five eligibility blocks based on your military status. This helps streamline the application process.
Provide Accurate Information: Ensure all personal details, including names and contact information, are correct. Any discrepancies can delay processing.
Include Required Documentation: Attach necessary documents like military orders, pay stubs, and birth certificates. Missing documents may result in a denied application.
Understand Your Responsibilities: Familiarize yourself with the requirements for maintaining eligibility, including notifying NACCRRA of any changes in your situation.
Use Qualified Providers: Only select child care providers that meet NACCRRA’s qualifications. Payments are made directly to these providers, not to you.