Child Care Financial Assistance Eligibility Calculator
Fill out this form to find out which types of financial assistance you qualify for.
Note: You must fill out a separate form for each child.
Child’s Date of Birth:
| Family Size | |
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Family Size includes the biological or adoptive parent(s) and child(ren) under age 18 that live in the same household. When the child(ren) is/are in the foster program, family size includes related child(ren) only.
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Gross Estimated Family Total Income Before Taxes |
Income Type |
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$Enter all income earned in the month/year from all parents before anything is taken out for taxes or other deductions. Some common forms of income are wages (including self-employment), bonuses, commission and/or tips, child support, cash aid, workers compensation/disability insurance (SSA only), unemployment, and spousal support.
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Monthly Annual |
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If you have received CalWORKs cash assistance in the last 2 years, please contact our office at (415) 343-3300 to inquire if you are eligible for immediate child care financial assistance. |
Do you live in San Francisco?
Yes No
Have you received financial assistance for care for this child in the past?
Yes No
