CCMPL 76 (Child Care Form Revision - JFS 01138 "Application for Child Care Benefits")
Child Care Manual Procedure Letter No. 76
January 23, 2014
TO: All Child Care Manual Holders
FROM: Cynthia C. Dungey, Director
SUBJECT: Child Care Form Revision - JFS 01138 "Application for Child Care Benefits"

This letter transmits revisions to the form used for determining eligibility for child care benefits. This form has been revised to update information and to meet the requirements of the Child Care Information Data System (CCIDS) related to the implementation of the Statewide Student Identifier (SSID) and to add language that requires use of the Ohio Electronic Child Care (ECC) swipe card as a condition of eligibility. Voter registration questions have also been added to comply with the National Voter Registration Act of 1993.

The form revisions have been added to collect information required for the Eligibility and Authorization (EA) module of the CCIDS to assign a SSID. The new version of the JFS 01138 (rev. 1/2014) shall be completed by caretakers who apply for child care on or after the date of this letter. Either version of this form (8/2011 or 1/2014) shall be accepted until June 30, 2014. The updated version of the JFS 01138 will be available in the EA module of CCIDS.

INSTRUCTIONS: The following chart identifies the material that needs to be removed from and inserted into the Child Care Manual.

CCM JFS 01138 (8/2011)JFS 01138 (rev. 1/2014)
Procedure Letters  CCMPL No. 76