** Archive **
CCMTL 58 (JFS 01138 eff. 7/1/04 - ARCHIVE)
Child Care Manual Transmittal Letter No. 58
May 19, 2004
TO: All Child Care Manual Users
FROM: Thomas J. Hayes, Director
SUBJECT: Revised JFS 01138 "Application for Child Care Benefits"

This letter transmits the revised JFS 01138 "Application for Child Care Benefits".

The significant content changes to the form resulted from new federal reporting requirements for race and ethnicity, allowing the social security number to be an optional field and adding the new Title IV-A Head Start Program codes.

Counties are instructed to begin using this form immediately or no later than thirty days from the date of this letter. Effective July 1, 2004 the version of this form dated 10/2002 will be considered obsolete.

If you have questions, please contact the Bureau of Child Care and Development, County Technical Support at 614-466-7762.


The following chart depicts what materials should be removed from and what materials should be inserted into the Child Care Manual (CCM).

Child Care Manual AppendixJFS 01138 (Rev.10/2002)JFS 01138 (Rev. 5/2004)
CCM Transmittal Letters CCMTL No. 58