Reno-Sparks/Carson Urban Area Application for Assistance (V. January 2025) Logo
  • APPLICATION FOR ASSISTANCE

  • The Inter-Tribal Council of Nevada, Inc., Child Care Development Fund, has child care subsidies available for American Indian/Alaska Native families in your community.
    To receive services, parents must be employed, enrolled in educational courses, and/or participating in job training. The eligible child must be of American Indian/Alaska Native descent and be 12 years of age or younger. Parents can choose the type of child care that is best for their family, whether it is private in-home care, licensed child care services, tribally administered child care, or licensed home child care. Providers must be 21 years of age or older, meet CCDF Health & Safety Standards, and local county child care standards. For private in-home care, providers can only be grandparents of the eligible child, and must submit to fingerprinting and a thorough background check.


    If additional documentation is needed to establish eligibility, ITCN CCDF reserves the right to request such information.
    The following items are required to determine eligibility:

    • Parent’s Identification
      • Valid Driver’s License/I.D. Card
    • Parent’s Income 
      • 4 paycheck stubs or letter from employer verifying employment
    • Other Documents
      • An official class schedule or official letter of enrollment, with proof of fees paid, is needed if attending educational courses, or proof of job training
    • Children’s Birth Certificate
      • **Birth Confirmation will only be accepted up to 4 months**
    • Child's Immunization Records
      • Immunizations must be current
    • Proof of American Indian/Alaska Native Descent
      • Tribal Enrollment Card, BIA Certificate; or proof of descent 
    • Media Release

     

    The following forms are required in order to determine your child care subsidy:

    • CCDF Application for Assistance (this form)
    • W-9 Form from your childcare provider **must be signed in the current year**
    • Child Care License (for any licensed provider)

    Home Providers will also need to submit the following documents:

    • Two Finger Printing Cards
    • Child Care Emergency Contact Information Form
    • Provider Health and Safety Self-Certification Form
    • Criminal Background Check Release Form

    All forms and documents must be completed and include authorized signatures in order to be reviewed for eligibility.

    Applicants will receive written notification regarding their status. If you have any questions please call (775) 355-0600. Completed applications can also be mailed or dropped off to:

    ITCN CCDF 10 State Street, 2nd Floor Reno, NV 89501

     

  • Parent/Guardian Information

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  • Employment Information

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  • Co-Applicant Employment Information

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  • Household Information

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  • Provider Information

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  • Media Release

  • I *, grant permission to the Inter-Tribal Council of Nevada, Child Care Development Fund (hereinafter known as the "media") to use mine and my child(ren)'s image (for photographs and/or video) for use in media publications including:
    Videos
    Photographs
    Email Blasts
    Printed Materials
    Newsletters
    General Publications
    Website and/or affiliates

    I hereby waive any right to inspect or approve of the finished photographs or electronic matter that may be used in conjunction with them now or in the future, whether that use is known or unknown to me, and I waive any right to royalties or other compensation arising from or related to the use of the image.
    By signing below, I understand that I am the parent or legal guardian of the below named child(ren). I have read this release before signing below, and I fully understand the contents, meaning and impact of this release. I understand that I am free to address any specific questions regarding this release by submitting those questions in writing prior to signing, and I agree that my failure to do so will be interpreted as a free and knowledgeable acceptance of the terms of this release.

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  • Protective Services

  • On a case-by-case basis, ITCN CCDF can provide services to families who fit ITCN CCDF’s definition of “protective services”. Under protective services ITCN CCDF can reimburse the child care costs for children who:


    • Have been abused/neglected, or at risk of abuse or neglect (this includes two parent families where one parent is unable to care for the child due to an addiction to a controlled substance, that may put the child at risk,
    • Are Homeless
    • Are children of teen parents
    • Are in transition
    • And/or live with a parent/guardian who is unable to provide adequate care due to age, disability, physical/mental health condition, or financially incapable of care.

    All cases must be referred and documented by protective services, and/or other appropriate agencies (i.e., law enforcement, courts, ICWA, case workers, etc.). If you are unable to acquire supporting documentation, an ITCN CCDF Case Manager can assist you. The family will be eligible for services for a period of 90 days. At that time, the family must re-apply for services, and include any changes in their status.

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  • By initialing and signing this document, the applicant agrees that all information provided is true and accurate to the best of their ability. Any attempt to falsify information can result in denial of subsidized child care or immediate termination from the ITCN CCDF program. All information provided, can and will be verified with any, or all, tribal county, state, and federal agencies, to ensure accuracy of information, and to prevent duplication of services. ITCN CCDF also has the right to verify required information with applicant’s employers or child care providers. If at any time, the applicant requests to terminate their child care assistance with the ITCN CCDF program, the applicant must notify their Case Manager, immediately, and must fulfill all outstanding balances with their current child care provider.

  • Applicant's Rights & Responsibilities

    If you are applying with a co-applicant, please make sure both initials are on the application.
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  • By initialing and signing this document, the applicant agrees that all information provided is true and accurate to the best of their ability. Any attempt to falsify information can result in denial of subsidized child care or immediate termination from the ITCN CCDF program. All information provided, can and will be verified with any, or all, tribal county, state, and federal agencies, to ensure accuracy of information, and to prevent duplication of services. ITCN CCDF also has the right to verify required information with applicant's employers or child care providers. If at any time, the applicant requests to terminate their child care assistance with the ITCN CCDF program, the applicant must notify their Case Manager, immediately. and must fulfill all outstanding balances with their current child care provider.

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  • All forms and information regarding the ITCN CCDF program can be found at: www.itcnccdf.org

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