CCAP-1A
Rev. 11/06
Child Care Assistance Program (CCAP) – Application Instructions
These instructions will help you fill out the Child Care Assistance Program application. Please read them carefully
before you begin filling out the application. When you complete the application, please be sure it is signed by both
parents, if you have a two-parent household. The completed, signed application should be mailed to:
Child Care Assistance Unit
Providence Regional Family Center
Department of Human Services
206 Elmwood Avenue
Providence, RI 02907-1491
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All applicants for CCAP are required to cooperate with the Office of Child Support Services unless getting
the child support would cause harm to you or your children. If you are concerned about your safety, or
your children’s safety, call 222-7133 for a referral to a Domestic Violence Advocate.
CCAP applicants must also show proof of resources owned, such as cash, bank accounts, stocks and bonds,
etc. If your household has more than $10,000 available in these resources, you will not be eligible for
CCAP.
ompleting the CCAP-1:
• All applicants must answer all of the following questions: numbers 1, 2, 3, 4, 6 and 17.
• Answer Question # 5 only if any child requesting CCAP is not a U.S. citizen, but is a legal permanent
resident. A child must be either a U.S. citizen or a legal permanent resident to qualify for CCAP assistance.
• You must tell us about all income that comes into the household using the following questions:
Working for an employer outside the home
Question # 7
Working for self / Owning own business
Question # 8
Providing childcare for children other than own
Question # 9
All income from sources other than working (TDI, SSI, child support, etc.)
Question # 10
Income from rental property
Question # 12
Providing room and/or board in own home
Question # 13
• Any and all resources, such as cash, bank accounts, stocks and bonds, etc., must be reported, effective
10/01/06. Please tel