Alaska Administrative Code › Title 7 - Health and Social Services › Part 3 - Public Assistance and Medical Assistance › Chapter 41 - Child Care Assistance Program › Article 3 - Provisions for Families › 7 AAC 41.315 - Family application

Current through May 31, 2024
(a) A family seeking to participate, or to
				  continue participation, in the PASS program and receive child care assistance
				  must submit an application to the designee serving the community where the
				  family resides or participates in an eligible activity and participate in an
				  in-person or telephonic interview. If no designee serves that community, the
				  family may apply to the department.
(b) Application for program participation
				  must be made on a form prescribed by the department and must be submitted to
				  the department or a designee, as appropriate, for review and an eligibility
				  determination. The application must be determined to be acceptable and complete
				  by the department or designee. Following submission of the application, the
				  department will review the application for completeness and, within 10 days
				  after the department or designee receives the application, notify the applicant
				  of any omissions or additional information required. A complete application
				  must be received by the department or a designee within 30 days after the
				  application submission, unless a later due date is identified in a notice from
				  the department or a designee.
(c) A
				  complete application tor child care assistance under this chapter must include
				  the following information, as applicable:
(1)
				  for each parent of the family, the name, mailing address, telephone number,
				  electronic mail address, if any, marital status, and aliases;
(2) for each individual in the family, the
				  name, date of birth, and relationship of the individual to the parent of the
				  family;
(3) for each parent in the
				  family, a copy of the parent's current government-issued photo
				  identification;
(4) for each
				  working parent in the family receiving wages or a salary, the name and address
				  of the parent's employer, start date of the parent's employment, the parent's
				  work schedule, the parent's hourly wage or hourly wage equivalent, the parent's
				  frequency of pay, and verification of the parent's gross earnings;
(5) for each working parent in the family
				  engaged in a business as described in
				  7 AAC 41.312(2),
(A) a copy of each current business license
				  under AS 43.70 possessed by the parent; and
(B) verification of the parent's profits and
				  net income from the business;
(6) for each parent in the family attending
				  school, the name of the program in which the parent is enrolled, the parent's
				  date of enrollment in the program, the date on which the parent anticipates
				  completing the program, verification of the parent's enrollment in the pro-am,
				  and verification of the amounts and terms of financial aid, if any, that the
				  parent has received or anticipates receiving to participate in the
				  program;
(7) for each member of the
				  family, all sources and amounts of unearned income, the frequency with which
				  that income is received, and documentation verifying all amounts of unearned
				  income;
(8) for each child of the
				  family for which child care assistance is requested, proof of the child's age
				  and citizenship or alien status;
(9) for each child in the family subject to a
				  child custody arrangement, the terms of the custody arrangement;
(10) for each child in the family attending
				  an elementary school, pre-elementary school under 4 AAC 60, or Early Head Start
				  or Head Start program under  42 U.S.C. 9831-9852c, the name of the elementary
				  school, pre-elementary school, or Early Head Start or Head Start program that
				  the child attends, and the days and hours of the day during which the child
				  attends the elementary school, pre-elementary school, or Early Head Start or
				  Head Start program;
(11) the name
				  of the eligible child care provider the family has selected;
(12) the signature of each parent in the
				  family declaring that the information provided is true, accurate, and complete,
				  and authorizing release of information by other state agencies or private
				  organizations or individuals for purposes of obtaining verification of program
				  eligibility; and
(13) a
				  certification that the family's assets do not exceed $1,000,000.