Completed forms and documentation can be emailed to: email@example.com
Application for Alaska Inclusive Child Care
Child Care Assistance Application
Child Support Services Verification Form
Family Contribution Schedule
Family Report of Change
Health Status Report
Monthly Tip Ledger
Self Employment Income Deduction Worksheet
Statement of Support Provided CSSD
Statement of Support Received CSSD
Termination of Child Care Services
Understanding your Authorization
Understanding your Co-Pay
Office: 907-283-4707 FAX: 907-283-4681
Toll Free: 1-877-855-2227 Toll Free FAX: 1-877-855-2230
Alaska's Statewide Child Care Resource and Referral Network, thread, offers referral services to parents needing assistance with locating child care providers.
If you meet the guidelines listed above, you may be eligible to receive assistance with your child care costs. Print the "Family Application" found below. Print, complete, attach required documentation and submit to our office. If you have any further questions regarding eligibility, please contact our office. You may visit the State of Alaska website for an online child care calculator, forms and resources.
Office Hours: Monday - Friday 8:00 a.m. - 5 p.m.
We are located on the second floor of the Seaman Building: 601 Frontage Road, Suite 204, Kenai.