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In navigating the intricacies of child care assistance, particularly for those seeking or receiving cash assistance, the FIA-1100 and FIA-1100a forms emerge as pivotal documents. Revised under Policy Bulletin #13-80-OPE on September 13, 2013, by the Family Independence Administration, these forms serve a crucial role in substantiating the work schedules of applicants or participants, thereby justifying their child care needs. The forms, shaped by a collaborative effort led by high-ranking officials such as Matthew Brune and James K. Whelan, aim to streamline the process of verifying employment schedules directly from employers, ensuring accuracy and transparency in the provision of child care benefits. Key to this process is the FIA-1100, a declaration of the applicant's work schedule, complemented by the FIA-1100a, which requires an employer's confirmation of these details. Integral to the policy are stipulations for various scenarios, including provisions for those self-employed or facing changes in work circumstances, emphasizing a comprehensive approach to assessing child care needs. Furthermore, the policy outlines procedural steps for submission, review, and actions to be taken should discrepancies or changes arise, underlining the administration's commitment to facilitating access to child care assistance with meticulous attention to procedural integrity and the dynamic nature of employment.

Preview - Fia1100A E Pdf Form

FAMILY INDEPENDENCE ADMINISTRATION

Matthew Brune, Executive Deputy Commissioner

James K. Whelan, Deputy Commissioner

Stephen Fisher, Assistant Deputy Commissioner

Policy, Procedures, and Training

Office of Procedures

POLICY BULLETIN #13-80-OPE

(This Policy Bulletin Replaces PB # 13-77-OPE)

Date:

Subtopic(s):

September 13, 2013

Child Care

This procedure can Revision to the Original Policy Bulletin:

now be accessed on the

 

FIAweb.

This policy bulletin is being revised to clarify the use of the Work

 

 

Schedule For Child Care (FIA-1100) and the Employer’s Verification

 

(FIA-1100a) forms.

 

Purpose:

 

The purpose of the policy bulletin is to provide staff with information

 

on two child care forms, the Work Schedule For Child Care (FIA-

 

1100) and the Employer’s Verification (FIA-1100a). The FIA-1100 is

 

an attestation of the applicant’s/participant’s work schedule. The

 

FIA-1100a is the employer’s verification of the

 

applicant’s/participant’s work schedule. As required by regulations

 

and social service law, every applicant or participant who is

 

requesting child care assistance must provide his/her work schedule

 

to justify the hours of child care required.

 

The Child Care Return Appointment form (W-273NN) has been

 

revised to include the FIA-1100 and the FIA-1100a in the list of

 

forms to be returned at the child care return appointment.

The FIA-1100 and the

Every applicant/participant requesting child care whose hours of

FIA-1100a does not

employment is not controlled/monitored by the Family Independence

apply to individuals

Administration (FIA) (See list below) must complete and submit the

assigned to full-time

FIA-1100 in order to receive or continue receiving child care

WEP and B2W.

 

payments.

HAVE QUESTIONS ABOUT THIS PROCEDURE?

Call 718-557-1313 then press 3 at the prompt followed by 1 or send an e-mail to FIA Call Center Fax or fax to: (917) 639-0298

Distribution: X

If the FIA-1100 has been completed, the child care information can be entered into ACCIS if all of the appropriate provider forms are complete and approved by the enrollment agency, if required.

PB #13-80-OPE

The following individuals are required to complete an FIA-1100:

Individuals who are:

applying for Cash Assistance (CA) who report employment income.

receiving CA and report new employment income.

employed and report a permanent change in:

work hours (increase or decrease).

employment status (part time to full time or vice versa).

applying for or in receipt of Child Care in Lieu of Cash Assistance (CILOCA).

employed as a child care provider even if they are receiving payments through the Automated Child Care Information System (ACCIS).

Note: Individuals who provide a letter from the employer on the employer’s stationary with contact information that includes the

daily work schedule (i.e., M F 9am 5pm) are not required to complete the FIA-1100 or to have the employer complete the FIA-1100a.

The FIA-1100 and the FIA-1100a must be used at application and recertification and will be incorporated into the six month eligibility mailer process at a later date.

At the interview, the JOS/Worker must print the FIA-1100 and the

FIA-1100a. The applicant/participant must complete the FIA-1100 on the same day of the interview. If the applicant’s/participant’s work

schedule varies, he/she must enter the schedule most commonly worked. If there is a second employed parent or guardian of the child, his/her work schedule must also be captured on the same form in the “Work Schedule For Other Adults in Householdsection. If the second employed parent or guardian is not present at the interview, the parent or guardian that is present must enter the information for that individual in the second part of the FIA-1100. The applicant/participant requesting child care must attest to both work schedules.

If the applicant/participant has a second employment, the Work Schedule For Other Adults in Household section on the FIA-1100 must be used to enter the hours for the second employment.

FIA Policy, Procedures, and Training

2

Office of Procedures

PB #13-80-OPE

Individuals who are self- employed are not required to complete the FIA-1100a.

Please use Print on

Demand to obtain copies of forms.

If for any reason the applicant/participant cannot fill out the FIA-1100 while present at the interview (example: Applicant/participant is not sure what their permanent schedule will be because he/she just started working and is now in a training schedule.), the FIA-1100 can be completed and submitted at the child care return appointment. The JOS/Worker must ensure that the FIA-1100 is checked on the W-273NN.

Once the FIA-1100 is completed by the applicant/participant, it must be scanned and indexed into the POS case record. Child care cannot be authorized until the FIA-1100 is completed, signed and submitted.

The FIA-1100a must be given to the applicant/participant to take to the employer. One FIA-1100a must be given for each employer and for each parent/guardian. The JOS/Worker must make a five day child care return appointment in New York City Work Accountability and You (NYCWAY), check the FIA-1100a box on the W-273NN and give the form to the applicant/participant to return with the completed FIA-1100a and other child care provider forms, if required.

When the applicant/participant returns with the FIA-1100a completed by the employer, it must be scanned and indexed into the POS case record.

At the return appointment if the applicant/participant wishes to change the work schedule previously reported, a new FIA-1100 must be completed.

If the applicant/participant fails to return the FIA-1100a, the JOS/Worker must mail an FIA-1100a to the employer and enclose a business reply envelope. If the FIA-1100a is not returned, and the completed FIA-1100 is filed in the record, no adverse action will be taken.

Effective Immediately

Related Item:

PD #13-18-EMP

PD #13-19-ELI

Attachments:

FIA-1100

Work Schedule for Child Care

FIA-1100 (S) Work Schedule for Child Care (Spanish)

FIA-1100a Employer’s Verification

FIA Policy, Procedures, and Training

3

Office of Procedures

 

PB #13-80-OPE

W-273NN

Child Care Return Appointment (Rev. 8/20/13)

W-273NN (S)

Child Care Return Appointment (Spanish)(Rev.

 

8/20/13)

FIA Policy, Procedures, and Training

4

Office of Procedures

FIA-1100 (E) 8/20/2013

LLF

Work Schedule For Child Care

If you wish to receive or already receive subsidized child care, in order to properly account for your child care needs, please complete this form with information about your employer and your work schedule. If your work schedule changes often, please provide your most commonly worked schedule. You must complete this form to receive child care.

Applicant/Participant's Name:

Cash Assistance Case Number:

Employer's Name:

Employer's Address:

Weekly Schedule

Days

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Start Time:

End Time:

Total Weekly

hours worked:

Number of hours worked:

Total Weekly Travel Time: If your travel time varies each day, use your longest travel time and multiply by five (5).

For example: Two (2) days a week your travel time is two (2) hours, and three (3) days a week your travel time is one (1) hour, your total travel time should be 5x2 = 10 Hours.

Total Weekly Travel Time:

Work Schedule For Other Adults in Household

Relationship to Child:

Parent

Guardian

Applicant/Participant's Name:

Cash Assistance Case Number:

Employer's Name:

Employer's Address:

Weekly Schedule

Days

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Start Time:

End Time:

Total Weekly

hours worked:

Number of hours worked:

Total Weekly Travel Time: If your travel time varies each day, use your longest travel time and multiply by five (5).

For example: Two (2) days a week your travel time is two (2) hours, and three (3) days a week your travel time is one (1) hour, your total travel time should be 5x2 = 10 Hours.

Total Weekly Travel Time:

I swear or affirm that the Information on this form is true and correct.

Applicant/Participant’s Signature: ___________________________________________ Date: ____________________

FIA-1100 (S) 8/20/2013

LLF

Horario de Trabajo para Cuidado Infantil

Si usted desea recibir o ya está recibiendo cuidado infantil subvencionado, a fin de rendir cuenta de sus necesidades de cuidado infantil, favor de llenar este formulario con información sobre su empleador y su horario de trabajo. Si su horario de trabajo cambia a menudo, favor de proporcionar su horario más comúnmente trabajado. Usted debe llenar este formulario para recibir cuidado infantil.

Nombre del Solicitante/Participante:

Núm. del Caso de Asistencia en Efectivo:

Nombre del Empleador:

Dirección del Empleador:

Horario Semanal

Días

lunes

martes

miércoles

jueves

viernes

sábado

domingo

Hora de comienzo:

Total de Horas

Hora final:Trabajadas Semanales:

Número de

horas trabajadas:

Total del tiempo de viaje semanal: Si su tiempo de viaje varía cada día, use su tiempo de viaje más largo y multiplique por cinco (5). Por ejemplo: Dos (2) días a la semana usted viaja dos (2) horas, y tres (3) días a la semana, viaja una (1) hora, el total de su tiempo de viaje debe ser 5x2 = 10 Horas.

Total del Tiempo de Viaje:

Horario de Trabajo de Otros Adultos en el Hogar

Relación con el Niño:

Padre/madre

Tutor

Nombre del Solicitante/Participante:

Núm. del Caso de Asistencia en Efectivo:

Nombre del Empleador:

Dirección del Empleador:

Horario Semanal

Días

lunes

martes

miércoles

jueves

viernes

sábado

domingo

Hora de comienzo:

Total de Horas

Hora final:Trabajadas Semanales:

Número de horas trabajadas:

Total del tiempo de viaje semanal: Si su tiempo de viaje varía cada día, use su tiempo de viaje más largo y multiplique por cinco (5). Por ejemplo: Dos (2) días a la semana usted viaja dos (2) horas, y tres (3) días a la semana, viaja una (1) hora, el total de su tiempo de viaje debe ser 5x2 = 10 Horas.

Total del Tiempo de Viaje:

Juro y afirmo que la información en este formulario es verídica y correcta.

Firma del Solicitante Participante:____________________________________________ Fecha: ________________

FIA-1100a (E) 08/20/2013

Employer’s Verification

Employee’s Name:

In order to receive New York City Child Care, your employee listed above must provide this agency with a work schedule verified by his/her employer. Please complete your employee’s work schedule in the spaces below. If your employee works a variable schedule, please fill in his/her most commonly worked schedule.

Work Schedule For Child Care

Employer’s Name:

 

 

Employer’s Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

State:

 

 

Zip Code:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Weekly Schedule

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Days

 

Monday

 

Tuesday

Wednesday

 

Thursday

 

Friday

 

 

 

Saturday

Sunday

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Start Time:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

End Time:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Weekly

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Hours Worked

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

hours worked:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The above schedule is (please check one):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Standard

 

 

Variable

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer or Employer Designee’s Signature: _______

________________________ Date: ___________________

 

Title:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Phone number:

 

_______

 

Form W-273NN LLF

Rev. 8/20/13

Date:

Case Number:

Case Name:

Job Center:

Child Care Return Appointment

Please return for the following reason(s)

I. CHILD CARE IS NEEDED

133S (Participant/Sanctioned Individual)

933S (Applicant)

Documents required:

II.ADDITIONAL INFORMATION IS NEEDED 133D (Participant/Sanctioned Individual)

Check the boxes that apply

Complete and return the child care provider enrollment form(s) provided Secure and return all documentation listed

933D (Applicant)

Check the boxes that apply LDSS-4699

LDSS-4700

CS-274W

Documents required:

FIA-1100

 

 

FIA-1100a

 

 

 

 

 

 

I will bring the above-mentioned documentation with me to my new appointment.

I will return to this mandatory engagement appointment on:

Appointment Date:

 

Time:

Telephone:

Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City:

 

 

 

State:

 

 

Zip:

 

This is a mandatory engagement appointment. Failure to keep this appointment may result in a reduction in your Cash Assistance and/or SNAP benefits. Please call the telephone number above if you need to reschedule this appointment.

You must report to the Job Center with this form.

Applicant's/Participant's/Sanctioned Individual's Signature

Date

Form W-273NN (S) LLF

Rev. 8/20/13

Fecha:

Número del Caso:

Nombre del Caso:

Centro de Trabajo:

Cita de Vuelta de Cuidado Infantil

Favor de regresar por la(s) siguiente(s) razón(es)

I. SE NECESITA CUIDADO INFANTIL

133S (Participante/Persona Sancionado[a])

933S (Solicitante)

Documentos necesarios:

II. SE NECESITA INFORMACIÓN ADICIONAL

133D (Participante/Persona Sancionado[a])

Marque las casillas que correspondan

Llene y devuelva el formulario(s) de inscripción del proveedor de cuidado infantil

Consiga y devuelva toda la documentación listada

Documentos necesarios:

933D (Solicitante)

Marque las casillas que correspondan LDSS-4699

LDSS-4700

CS-274W

FIA-1100

FIA-1100a

Traeré toda la documentación mencionada más arriba a mi nueva cita.

Regresaré a esta cita de participación obligatoria el:

Fecha de la Cita:

 

 

Hora:

 

 

Teléfono:

Dirección:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ciudad:

 

Estado:

 

 

Código Postal:

 

Ésta es una cita de participación obligatoria. El no cumplir con esta cita puede resultar en una reducción de sus beneficios de Asistencia en Efectivo y/o SNAP. Favor de llamar al número de teléfono más arriba si necesita reprogramar esta cita.

Usted tiene que presentarse al Centro de Trabajo con este formulario.

Firma del Solicitante/Participante/Persona Sancionado(a)

Fecha

Form Data

Fact Number Fact Detail
1 The FIA-1100A form is used for Employer’s Verification of an applicant/participant’s work schedule.
2 This form is utilized as part of a process to justify the hours of child care required by applicants or participants requesting child care assistance.
3 The revision of the policy bulletin, under which FIA-1100A was clarified, is Policy Bulletin #13-80-OPE, replacing PB #13-77-OPE.
4 Individuals not required to fill out the FIA-1100 or have the FIA-1100a completed include those who provide a letter from their employer with a specific work schedule.
5 Policy asserts that child care cannot be authorized until the FIA-1100 is completed, submitted, and signed.
6 The FIA-1100 and the FIA-1100a must be used at both application and recertification stages and will later be incorporated into the six month eligibility mailer process.
7 Individuals who are self-employed are not required to complete an FIA-1100a form.
8 If an applicant/participant cannot fill out the FIA-1100 at the time of the interview due to uncertainties in their permanent schedule, it can be completed and submitted at the child care return appointment.

Instructions on Utilizing Fia1100A E Pdf

Understanding and completing the FIA-1100A E Pdf form is an important step for individuals seeking child care assistance. This task involves providing detailed information about work schedules which justifies the need for child care support. It's crucial to be precise and accurate in filling out this form to ensure the smooth processing of your request. Completing the form meticulously not only helps in communicating your child care needs effectively but also aids in the expedited handling of your application. Here are the step-by-step instructions for filling out the form.

  1. Start with your personal details. Enter your name and Cash Assistance Case Number at the top of the form.
  2. Proceed to provide your employer’s information. Fill in your employer’s name followed by the employer’s complete address.
  3. Detail your weekly work schedule. For each day of the week (Monday through Sunday), specify your start time and end time at work.
  4. Calculate and enter your total weekly hours worked. This total should reflect the cumulative hours from each day of the week.
  5. Determine the total weekly travel time. If your daily travel time varies, use your longest travel time, multiply it by five, and enter this figure in the form. This step accounts for the commute between your home and workplace.
  6. If there are other adults in the household who contribute to the child’s care, provide their relationship to the child whether as a parent or guardian. Repeat steps 2 through 5 for this section: include the other adult’s employer information, daily work schedule, total weekly hours worked, and total weekly travel time.
  7. End the process by attesting to the truthfulness and accuracy of the information provided. Sign and date the form in the designated area at the bottom.

Once the form is complete, ensure it’s submitted along with any other required documentation by the due date. Accurate and thorough completion of the FIA-1100A plays a crucial role in facilitating a positive outcome for your child care assistance request.

Obtain Answers on Fia1100A E Pdf

  1. What is the FIA-1100a form, and why is it important?

    The FIA-1100a, also known as the Employer’s Verification form, plays a crucial role in the process of applying for or recertifying for child care assistance under the Family Independence Administration's guidelines. It serves as a verification tool, through which an employer confirms an applicant's or participant's work schedule. This form is essential in establishing the need for child care assistance based on the hours the parent or guardian works, as stipulated by regulations and social service law.

  2. Who needs to complete the FIA-1100a form?

    Every applicant or participant requesting child care assistance, whose hours of employment are not monitored by the Family Independence Administration, must have their employer fill out the FIA-1100a. This includes individuals applying for Cash Assistance (CA) with employment income, those on CA reporting new employment, anyone experiencing permanent changes in their work hours or employment status, and individuals applying for or receiving Child Care in Lieu of Cash Assistance (CILOCA), among others. Notably, individuals providing a letter on employer’s stationery detailing their work schedule are exempt from needing this form completed.

  3. How is the FIA-1100a form used in conjunction with the FIA-1100?

    The FIA-1100 and FIA-1100a forms are utilized together during both application and recertification processes for child care assistance. The FIA-1100 form is an attestation by the applicant or participant of their work schedule, which outlines the justification for the hours of child care required. Subsequently, the FIA-1100a, filled out by the employer, verifies this schedule to the Family Independence Administration. The accurate completion and submission of both forms are mandatory for the approval of child care assistance.

  4. When should these forms be submitted?

    These forms must be submitted at the time of application and at recertification for child care assistance. Additionally, if there is any change in the applicant’s or participant's work circumstances, such as a change in work hours or employment status, a new FIA-1100 must be completed, and an updated FIA-1100a may be required. For new applications, these forms are typically completed and submitted during an interview or at a scheduled child care return appointment.

  5. What happens if the FIA-1100a is not returned by the employer?

    If an employer fails to return the completed FIA-1100a, the applicant or participant's caseworker should mail the form directly to the employer with a business reply envelope. If the employer still does not return the form, but the applicant or participant has filed a completed FIA-1100 in the case record, the administration may proceed without taking adverse action against the applicant or participant for the absence of the FIA-1100a. This is an important measure to ensure that eligible individuals do not face unnecessary barriers to receiving child care assistance.

  6. Can self-employed individuals be exempt from the FIA-1100a requirement?

    Yes, individuals who are self-employed are exempt from the requirement to have the FIA-1100a completed by an employer. Instead, their work schedule and income are usually verified through different documentation that demonstrates their business activities and hours of operation. This exemption acknowledges the unique nature of self-employment and the difficulty in providing an employer’s verification in the traditional sense.

Common mistakes

Filling out the FIA-1100A form correctly is crucial for those seeking child care assistance. Unfortunately, errors can delay the process. Here are five common mistakes:

  1. Not providing detailed or accurate work schedules: Applicants often make the mistake of not thoroughly completing their work schedules or providing inaccurate information. The form requires precise details of daily and weekly work hours to process child care assistance accurately.

  2. Overlooking the inclusion of travel time: Another error is failing to include total weekly travel time. Applicants should calculate their longest daily commute and multiply this by the number of working days to determine their total weekly travel time.

  3. Missing information for other adults in the household: When there is another working adult in the household, their work schedule must also be documented on the form. Omitting this information can lead to incomplete applications.

  4. Incomplete employer verification (FIA-1100a): Applicants sometimes forget to have their employer complete the Employer’s Verification section, which is essential for verifying the provided work schedule.

  5. Not updating the form when work schedules change: If an applicant’s or household member's work schedule changes after initial submission, they fail to submit an updated form. This can result in incorrect child care assistance.

These mistakes can lead to delays or denial of child care assistance, so it's important to complete the FIA-1100A form carefully and accurately.

Documents used along the form

Understanding the paperwork involved in qualifying for subsidized child care through the Family Independence Administration can be daunting. Alongside the key documents such as the FIA-1100 Work Schedule for Child Care and FIA-1100a Employer’s Verification, there are several other forms and documents that might be necessary throughout this process. Here’s a comprehensive list of other forms often used in conjunction with the FIA-1100A E Pdf form, designed to make navigation through this procedure a little easier.

  • Child Care Return Appointment Form (W-273NN): This form is critical as it documents the applicant's scheduled return appointment to submit required child care documentation. It ensures that all needed forms, including the FIA-1100 and FIA-1100a, are collected and processed in a timely manner.
  • Proof of Employment Income Statement: This document is vital for verifying the applicant’s income from employment. It supports the work schedule by showing that the claimed employment is ongoing and provides an insight into the financial eligibility for child care benefits.
  • Self-Employment Ledger: For individuals who are self-employed, this ledger records their business income and expenses, providing a clear view of their financial status for child care assistance eligibility.
  • Child Care Provider Agreement: This agreement is between the child care provider and the Family Independence Administration, detailing the terms and conditions under which child care services will be provided and reimbursed.
  • Automated Child Care Information System (ACCIS) Enrollment Form: Used to enter the child care provider into the ACCIS, ensuring that payments for child care services can be made electronically and efficiently.
  • Child Care Attendance Records: These records are essential for documenting the child’s attendance in the child care program, serving as a basis for the provider’s reimbursement.
  • Child Care Recertification Packet: This packet includes several forms required for the annual review of a family’s eligibility for child care assistance, ensuring continued compliance with program requirements.

Each of these documents plays a specific role in the application or recertification process for child care assistance, contributing vital information that helps the Family Independence Administration make informed decisions about eligibility and the level of assistance provided. Having a good grasp of these documents not only eases the application process but also ensures that applicants can efficiently fulfill the requirements set forth by the agency.

Similar forms

The FIA-1100A E Pdf form, dedicated to employer verification for child care schedules, has similarities with other documents that handle verification, reporting, and assistance requests in various contexts. Here are six similar documents and how they compare:

  • Income Verification Form: Similar to the FIA-1100A, this document is used by employers to verify an applicant’s or employee’s income. Both forms are essential for determining eligibility for assistance programs or financial services, requiring accurate and current employment and income information.
  • Rental Application Employment Verification: This form is part of many rental application processes, where a landlord seeks to verify the employment status of a prospective tenant. Like the FIA-1100A, the objective is to confirm stability and capability to meet financial commitments, albeit for housing rather than child care services.
  • Benefit Verification Letter: Often provided by social security, pension funds, or other benefit providers, this document serves as proof of income received from benefits. It's akin to the FIA-1100A in that it helps determine a person's eligibility for additional services or assistance, highlighting the formal requirement of verifying financial status for aid.
  • Child Support Modification Form: When a parent seeks to adjust child support payments, they must typically provide proof of a change in circumstances, including employment details similar to those required in the FIA-1100A. Both documents play a crucial role in ensuring the fair and adequate provision of support based on current circumstances.
  • Public Assistance Re-certification Form: Used by individuals to reapply for public assistance, such as food stamps or Medicaid, this form requires detailed information on household income, employment, and other factors that determine eligibility. It mirrors the FIA-1100A’s purpose of using verified employment information to qualify for assistance.
  • Professional License Application Employment Verification: For certain professional licenses, applicants must provide a verifiable employment history to meet the licensing body's requirements. This process parallels the FIA-1100A by necessitating official verification of work experience and status for eligibility purposes.

Each of these documents shares the common theme of employing formal verifications to establish or confirm eligibility, status, or capacity within different systems, whether for financial assistance, professional qualification, or accessing services. The FIA-1100A is part of this broader context of documentation that relies on the accurate portrayal of an individual's employment and financial circumstances.

Dos and Don'ts

When filling out the FIA-1100A E Pdf form for child care assistance, there are specific steps and precautions that should be followed to ensure the process is smooth and the application is successful. Below is a list of do's and don'ts to help guide you through the process.

  • Do gather all necessary information before starting to fill out the form. This includes your employer's details and the exact hours of your work schedule.
  • Do be as accurate as possible when entering your work schedule and travel time. If your schedule varies, provide the most commonly worked hours.
  • Do use a pen with black ink if you're filling out a physical copy of the form, as this ensures the text is legible and can be scanned properly.
  • Do sign and date the form. Your signature is necessary to affirm that the information provided is true and correct.
  • Do make a copy of the completed form for your records before submitting it. This can be helpful in case there are any discrepancies or questions later on.
  • Don't leave any required fields incomplete. If a section does not apply to you, mark it as "N/A" (not applicable).
  • Don't guess your work hours or travel time. Accuracy is essential to determine the child care assistance you are eligible for.
  • Don't use correction fluid or tape on the form. If you make a mistake, it's better to start over on a new form to ensure clarity.
  • Don't hesitate to ask for help if you're unsure about any part of the form. It's better to get clarification than to submit incorrect information.

Following these guidelines will help ensure your FIA-1100A form is filled out correctly and processed efficiently, paving the way for the child care support you need.

Misconceptions

When it comes to the Work Schedule for Child Care Form (FIA-1100) and the Employer’s Verification Form (FIA-1100a) required by the Family Independence Administration (FIA), there are several misconceptions that often arise. Understanding these forms correctly is crucial for applicants or participants seeking child care assistance:

  • All participants in child care programs must fill out both the FIA-1100 and FIA-1100a forms. This isn’t always the case. The FIA-1100a, which is the employer’s verification of work schedule, is not necessary for self-employed individuals. The requirement hinges on the ability to provide a standardized schedule or confirmation of work hours without needing an employer's formal verification.

  • Submission of these forms is only necessary at the initial application. This understanding is incorrect. Both the FIA-1100 and FIA-1100a forms may need to be completed and submitted at various stages, including application, recertification, and when any changes in employment status or work schedule occur. These documents are integral to continually verifying the need and eligibility for child care assistance.

  • These forms are the only documentation required for child care assistance. While the FIA-1100 and FIA-1100a forms are critical, they are part of a broader set of documents required to assess eligibility for child care assistance, such as proof of income and residency. The process is designed to capture a comprehensive view of the applicant's or participant's circumstances.

  • Once completed, there is no need to update these forms unless reapplying for assistance. This is incorrect as any significant change in work schedule, employment status, or family composition should prompt an update to the information provided through these forms to ensure that the child care assistance provided aligns with current needs.

  • The FIA-1100 form is unnecessary for individuals not currently working. This misses the broader purpose of the form, which is to document work schedules for those who are working or have varying schedules that might affect their need for child care assistance. For those not working, other documentation might be required to ascertain eligibility for assistance.

  • Employer’s verification is always required to process child care assistance applications. As mentioned, for applicants who are self-employed or can otherwise document their work schedule without needing a formal employer verification, the FIA-1100a form may not be necessary.

  • These forms can only be submitted in person. The policy accommodates situations where the applicant or participant cannot present the forms in person at the time of the interview. In such cases, they may be allowed to submit these forms at a later, scheduled return appointment, enhancing flexibility in the submission process.

  • Any child care provider can fill out the FIA-1100a on behalf of the employer. This is not accurate; the FIA-1100a form is specifically an employer’s verification form and must be completed by the employer or a duly authorized representative, not the child care provider.

  • Failure to return the FIA-1100a form results in immediate disqualification from child care assistance. If an applicant or participant fails to return the completed FIA-1100a, efforts will be made to contact the employer directly before any adverse action is taken, ensuring due diligence in the process.

  • The process to complete and submit these forms is complicated. Although dealing with any form of bureaucracy can seem daunting, these forms are structured to be straightforward. They are accompanied by instructions, and help is available through the FIA for those who have questions or need assistance in completing them.

Understanding these misconceptions and the actual requirements and processes involved with the FIA-1100 and FIA-1100a forms can smooth the path for applicants and participants seeking child care assistance, ensuring that the assistance aligns with their current needs.

Key takeaways

When navigating the complex world of child care assistance, the FIA-1100A Employer’s Verification form plays a pivotal role. Here are 8 key takeaways about filling out and using this form effectively:

  • The FIA-1100A form is crucial for applicants or participants requesting child care assistance to validate their work schedule through their employer's confirmation, ensuring the request meets regulatory and social service law requirements.
  • Completion of the FIA-1100A is mandatory at both application and recertification stages for child care assistance, signifying its continual importance throughout the assistance lifecycle.
  • Applicants and participants need to provide detailed information about their work schedule, including days and hours worked, to justify the need for child care hours, highlighting the form's role in aligning child care support with actual work-related needs.
  • The form serves as an essential document for individuals who are employed and experiencing permanent changes in work hours or employment status, underlining its adaptability to varied employment scenarios.
  • Self-employed individuals are exempt from completing the FIA-1100A, acknowledging the unique nature of self-employment and its impact on work schedule verification.
  • If the applicant’s or participant's work schedule changes frequently, they must report the schedule most commonly worked, emphasizing the form's flexibility in accommodating varying work patterns.
  • For cases where an applicant or participant cannot complete the FIA-1100A at the time of the interview due to uncertainty in their permanent work schedule, arrangements are made to submit the form at a later date, ensuring that temporary uncertainties do not hinder the child care assistance process.
  • In instances where the provided information changes or if the form is not returned by the employer, specific procedures, such as mailing the form directly to the employer, are in place to facilitate the completion and submission process, ensuring that administrative challenges do not impede the provision of necessary child care support.

By understanding and effectively managing the FIA-1100A form, applicants and participants can navigate the child care assistance process more smoothly, ensuring their children are cared for while they fulfill their work commitments.

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