Child Care Application

You may be eligible to receive child care while searching for work that will meet minimum employment activity.

If you meet the requirements and would like to apply for child care assistance please complete the application below. Your submission will be sent to our team.


To speak to a child care specialist please call 1-800-996-7589 or 325-653-2321.

Submitting this application does not guarantee eligibility. Applicants should expect contact through email or phone call from a CCS representative that will inform you of if you qualify for CCS and whether you will be placed on the wait list

This application can be printed and filled out HERE.