Section He-C 6910.04 - Application for Child Care Scholarship(a) All applicants requesting child care scholarship shall submit to the district office an application for assistance, signed and dated on paper, via telephone or electronically in accordance with He-W 600.(b) At a minimum, the applicant shall provide the following information within 30 days of the date of application: (1) For each member of the assistance group: a. His or her full name, including maiden name, if applicable, and any other names used previously;b. His or her social security number if the applicant chooses to provide it;c. His or her current address;d. A description of the current household composition, such as whether the family lives independently, or with a relative(s) or others, is homeless, or if the child(ren) living with him or her is a foster child;e. The telephone number(s) at which he or she can be reached;f. The reason for requesting assistance at the time the application is made; andg. The total amount of gross income from all sources, or net income if self-employed as described in He-C 6910.06; and(2) The date and place of birth of each child in the assistance group for which the applicant is requesting child care scholarship.(c) The applicant shall participate in the verification and interview process prescribed in He-W 636.(d) The applicant shall indicate at the time of application the current child care arrangements, if any, including: (1) The name of the provider;(2) The cost of child care; and(3) Whether the provider is licensed or license-exempt.(e) The application for child care scholarship shall be signed, dated, and submitted in accordance with He-W 600.N.H. Admin. Code § He-C 6910.04
#7357, eff 9-1-00; ss and moved by #7723, eff 7-1-02 (from He-C 6910.03 ); (See Revision Note at part heading for He-C 6910) #9474, eff 6-29-09; ss by #10120, eff 5-7-12
Amended by Volume XXXV Number 36, Filed September 10, 2015, Proposed by #10917, Effective 9/1/2015, Expires9/1/2025.Amended by Volume XXXVII Number 28, Filed July 13, 2017, Proposed by #12221, Effective 7/10/2017, 7/10/2027.Amended by Volume XL Number 27, Filed July 9, 2020, Proposed by #13063, Effective 7/1/2020, Expires 7/1/2030