OCFS-4773. Child Care Eligibility Re-determination Coming Due (Sample Only)

Form OCFS-4773 is a Child Care Eligibility Re-determination Coming Due (Sample Only) form used by the New York State Office of Children and Family Services. The purpose of this form is to notify parents or guardians that the re-determination of their child care eligibility is approaching and they need to submit updated information.

The form consists of sections where the Office informs the parents or guardians of the upcoming re-determination date, the documents or information required for the re-determination process, and the deadline for submission. The form may also include instructions for completing the re-determination process.

Important fields in this form include the deadline for submitting updated information and the list of required documents or information. Accurate and timely completion of the re-determination process is crucial for parents or guardians to continue receiving child care assistance.

Application Example: A parent who receives child care assistance from the Office needs to respond to this form to re-determine their eligibility for continued assistance. The form will notify the parent of the upcoming re-determination date and the documents they need to submit to maintain their child care benefits.

No additional documents are mentioned in the form, but the parent may need to provide updated income and employment information, as well as any changes in family circumstances that could impact their eligibility for child care assistance.