Friday, June 11, 2021Enrolled participants in adult care, child care, and family day care homes must complete and submit a completed Enrollment Form/Income Eligibility Statements upon enrollment, and annually thereafter. Attachment(s): FY22 Enrollment Form Tier I Homes FY22 Enrollment Form/Income Eligibility Statement Adult Care FY22 Enrollment Form/Income Eligibility Statement Child Care FY22 Enrollment Form/Income Eligibility Statement FDCH Tier II Income Eligibility Statement Español
