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Disaster Relief ApplicationLogan Crouch2017-09-07T13:59:27-05:00

Parent Application - Disaster Relief

Step 1 of 5

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  • Do I qualify for Child Care Services?

    Do you meet the monthly income guidelines? (This includes ALL income received on a monthly basis before taxes have been taken out)
  • Please enter a value greater than or equal to 1.
    This should include yourself and any children, but only family currently living in your household.
  • I'm sorry, you do not meet the minimal requirements to apply for CCMS services at this time. If you have any questions, please call our customer service number at (817) 831-0374 for assistance.

  • Congratulations you may be eligible to apply for our services! Please Continue.

  • Personal Information

  • Contact Information

  • Child Information

  • First NameLast NameDate of BirthDisabilityNeeds Care 
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  • Review Information

  • {all_fields}
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