Pre-Determination Instructions

In order for you to obtain childcare we must gather information to determine your eligibility.

Both You and Your spouse MUST meet one or more of the following: Employment, School (High School or College [NOTE:College hours must not exceed 65 credit hours])
Training (Vocational or Technical)
A one parent household must have at least 25 hours of activity in a one week period.
A two parent household must have at least 50 hours of activity between both parents in a one week period.
Income guidelines and other criteria must also be met.

TO PROCESS YOUR PRE-DETERMINATION YOU MUST SUBMIT COPIES OF ALL OF THE FOLLOWING DOCUMENTATION:

♦   Each Parent’s     SOCIAL SECURITY CARD AND IDENTIFICATION CARD
♦   Each Child’s       SOCIAL SECURITY CARD
♦   Each Child’s       BIRTH CERTIFICATE AND IMMUNIZATION RECORD

If Employed:
♦      Four recent check stubs or if new employment, employment verification form or letter form or letter from employer (on letterhead and typed) reflecting income and hours of employment.
♦      Last income tax return filed with the Internal Revenue Service (IRS)
♦     Proof of any other income and/or benefits you receive
♦     Proof of child support income or letter from the Attorney General’s office Form 1825 that a case is open with their office for each child in the  household.

If in School or Training:
♦   Statement of Charges          ♦ Copy of class schedule            
♦   Transcripts of hours or credits accumulated

If attending High School:

♦A letter of Enrollment on letter head and typed from the school you are
   attending.

At the time of your appointment, you MUST have the following:
Daycare:                                                         

♦Name of Daycare                                                       

♦Provider and child must not reside in same residence
                                              

♦Valid Picture Identification Card

♦Make sure daycare has space for your child, visited the facility and  that it is adequate for your needs 

♦Social Security Card    
                

♦Background check from TDPS
             

♦Relative must accompany you to your appointment

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Please complete and return the pre-determination form along with COPIES of ALL required documentation to the following address:

Workforce Solutions Cameron Child Care Management (WFSCCCM)
851 Old Alice Road
Brownsville, Texas 78521

Please confirm that the pre-determination was received by our office within three to five days of mailing.  You will be notified by mail of the Date, Time, and Location of your appointment.  If you have any questions in completing the form, please call (956) 546-3141 or 1-888-589-4200.

DOWNLOAD PDF FORM :> Pre-Determination for Child Care Service