Child Care Development Fund, CCDF
The Child Care and Development Fund (CCDF) program provides financial assistance for families who are working or enrolled in school. To apply for the CCDF voucher program, you must contact your local Intake Agent.
The links below are forms that will help you in the process for applying for the voucher program. We are required to obtain original signatures and supporting documentation; therefore, you must print out a copy of the waitlist application, complete it and mail it to us with a copy of the required pay stubs or school information (as stated on application). When we receive your application, your name will be added to the waitlist. We notify clients who are on the waitlist by mail when funds are available. While your name is on the waitlist you should familiarize yourself with the Appointment Checklist. When funds become available you will have a limited time to gather the required documentation needed to complete your appointment.
Return all paperwork to: CCDF Intake Office, 4C of Southern Indiana, Inc., 600 SE 6th St., Evansville, IN 47713 or fax to 1-866-503-5970.
CCDF Links:Frequently Asked Questions
To Apply: Pre-Application
Open Enrollment: Checklist
Open Enrollment: Provider Information Page
Reauthorization: Reauthorization Checklist
Reauthorization: Provider Information Page
Reauthorization: Child Support Declaration Form
Reauthorization: Parent's Statement of Rights and Obligations
Reauthorization: Parent/Applicant Worksheet
Reauthorization: Wage Detail Form
Reauthorization: Tipped Employee Worksheet
Change of Providers: Provider Change Form and Provider Information Page--Must be submitted by noon on the 2nd to last business day of the week to take effect the following week.
High School Students: High School Enrollment Verification
Self Employed: Profit and Loss Worksheet
Employed By Provider: Form must be completed and signed for all New and Recertification Cases.
Applicant Appeal Process
Voluntary Termination Form
Return from Medical Leave Form