You must complete the Childcare Waiting List Screening Form, and if your family meets the current policy qualifications for assistance, based on your need and income, you will be placed on the list. Families are placed on the Waiting List by waiting list priority and waiting list screening application date.  You must provide all information and documentation requested.  Any missing information may cause your placement on the waiting list to be delayed or denied.

If you would like to be considered for placement on the waiting list, complete the screening form (screening form link) and mail to our office.

Screening form link


If you receive TANF, have received TANF in the last 12 months, or have a child enrolled in Head Start, then you are eligible to apply for child care assistance.  

You can apply online through the state’s Common Help portal at