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The FIA-1100A E PDF form plays a crucial role in the Family Independence Administration's efforts to streamline child care assistance for applicants and participants. This form serves as the employer's verification of an individual's work schedule, complementing the FIA-1100, which documents the applicant's own work hours. Together, these forms ensure that the necessary information is collected to justify the hours of child care needed. When individuals apply for child care assistance, they must provide accurate details about their employment to receive the support they need. The FIA-1100A is particularly important for those whose work schedules are not monitored by the Family Independence Administration, as it helps confirm the hours worked for child care eligibility. The process requires not only the completion of the FIA-1100 and FIA-1100A forms but also mandates that this information be submitted during application and recertification appointments. This ensures that both the applicant's and, if applicable, the second guardian's work schedules are accurately represented. Moreover, the FIA-1100A must be submitted by the employer, reinforcing the collaboration between employees and their workplaces in facilitating access to essential child care services. Understanding how to properly fill out and submit these forms is vital for anyone seeking assistance, as it directly impacts their eligibility and the support they can receive.

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

Document Specifics

Fact Name Details
Form Purpose The FIA-1100A E form serves as the employer's verification of an applicant's or participant's work schedule for child care assistance.
Governing Law This form is governed by social service law and regulations pertaining to child care assistance.
Required Submission Applicants or participants must submit the FIA-1100A E form to receive or continue receiving child care payments.
Completion Timeline The FIA-1100A E must be completed and submitted at the time of application or recertification for child care assistance.
Multiple Employers One FIA-1100A E form is required for each employer and each parent or guardian involved in the child care request.
Self-Employed Exemption Individuals who are self-employed are not required to complete the FIA-1100A E form.
Interview Requirement The FIA-1100A E must be provided to the applicant/participant to take to their employer after the interview.
Return Appointment If the FIA-1100A E is not returned, the JOS/Worker must mail a new form to the employer with a business reply envelope.

Fia1100A E Pdf: Usage Instruction

Completing the FIA-1100A E PDF form is essential for individuals seeking child care assistance. This form collects information about the applicant’s work schedule, which is necessary for determining the hours of child care needed. Following the outlined steps will ensure that the form is filled out accurately and completely.

  1. Obtain the FIA-1100A E PDF form from the appropriate source.
  2. Fill in the Applicant/Participant's Name and Cash Assistance Case Number at the top of the form.
  3. Provide the Employer's Name and Employer's Address in the designated sections.
  4. Complete the Weekly Schedule by entering the days of the week (Monday through Sunday) and the corresponding Start Time and End Time for each day worked.
  5. Calculate the Total Weekly Hours Worked and enter that number in the appropriate field.
  6. Determine the Total Weekly Travel Time. If travel time varies, use the longest travel time and multiply by five, then enter the total in the designated area.
  7. If applicable, fill out the section titled Work Schedule For Other Adults in Household, including their relationship to the child, name, case number, employer information, and work schedule.
  8. Ensure that all information provided is accurate and complete.
  9. Sign and date the form in the designated area to affirm that the information is true and correct.

Once completed, the form should be submitted as directed, ensuring that it is scanned and indexed into the relevant case record. This step is crucial for the processing of child care assistance.

Learn More on Fia1100A E Pdf

What is the FIA-1100A E form?

The FIA-1100A E form, also known as the Employer’s Verification form, is used to confirm an applicant's or participant's work schedule as part of the child care assistance process. It serves as a verification tool for the hours worked by the applicant, which is essential for determining the appropriate level of child care support they may receive.

Who needs to complete the FIA-1100A E form?

Any applicant or participant who is requesting child care assistance and whose employment hours are not monitored by the Family Independence Administration (FIA) must complete the FIA-1100A E form. This includes individuals applying for Cash Assistance, those reporting new employment, or anyone experiencing a change in work hours or employment status.

When must the FIA-1100A E form be submitted?

The FIA-1100A E form must be submitted during the application process and at recertification appointments. It is also necessary to bring the completed form to the child care return appointment, where it will be used to verify the applicant’s work schedule.

What if my work schedule varies?

If an applicant's work schedule changes frequently, they should enter their most commonly worked schedule on the FIA-1100A E form. This helps to provide a clearer picture of their typical work hours, which is crucial for determining child care needs.

Can I complete the FIA-1100A E form if I am self-employed?

What happens if I do not return the FIA-1100A E form?

If the FIA-1100A E form is not returned, the JOS/Worker will mail a copy of the form to the employer along with a business reply envelope. However, if the completed FIA-1100 is filed in the record, no adverse action will be taken against the applicant for failing to return the FIA-1100A E form.

What information is required on the FIA-1100A E form?

The FIA-1100A E form requires information about the employer, including the employer's name and address, as well as details about the applicant's work schedule. This includes start and end times for each workday, total weekly hours worked, and total weekly travel time.

How is the FIA-1100A E form used in conjunction with the FIA-1100?

The FIA-1100A E form is used alongside the FIA-1100, which is the Work Schedule For Child Care form. The FIA-1100 is completed by the applicant, while the FIA-1100A E form is filled out by the employer. Both forms are necessary to assess the child care assistance needs accurately.

Where can I obtain copies of the FIA-1100A E form?

Copies of the FIA-1100A E form can be obtained through the Print on Demand service. Applicants and participants are encouraged to ensure they have the most current version of the form when submitting their requests for child care assistance.

Common mistakes

Filling out the FIA-1100A E form can be straightforward, but many people make mistakes that can delay their application for child care assistance. One common mistake is not providing accurate employer information. Applicants often forget to include the employer's address or write it incorrectly. This can lead to confusion and cause delays in processing the form.

Another frequent error is failing to report the correct work schedule. Some applicants enter a schedule that does not reflect their actual hours. If the work schedule changes frequently, it’s essential to provide the most commonly worked hours. This inconsistency can lead to issues with child care eligibility.

Many individuals also overlook the requirement to include travel time. The form asks for total weekly travel time, but applicants sometimes leave this section blank. Even if travel time varies, it’s important to calculate the longest travel time and provide that information. This helps ensure that the child care hours align with actual needs.

In addition, people often forget to sign the form. A missing signature can lead to the application being considered incomplete. It is crucial to double-check that all necessary signatures are present before submitting the form.

Lastly, some applicants fail to return the completed FIA-1100A E form within the required timeframe. If the form is not submitted promptly, it can result in delays or even denial of child care assistance. Keeping track of deadlines is essential for a smooth application process.

Documents used along the form

When navigating the process of applying for child care assistance, it is crucial to understand the various forms and documents that accompany the FIA-1100A E PDF form. Each of these documents plays a significant role in ensuring that applicants receive the support they need. Below is a list of related forms that are often used in conjunction with the FIA-1100A E PDF form, along with a brief description of each.

  • FIA-1100 Work Schedule for Child Care: This form is used by applicants to provide their work schedule. It is essential for determining the amount of child care assistance required based on the applicant's employment hours.
  • W-273NN Child Care Return Appointment: This document is utilized to schedule a follow-up appointment for applicants to return with necessary forms, including the FIA-1100 and FIA-1100A. It ensures that all required documentation is submitted in a timely manner.
  • FIA-1100A Employer’s Verification: This form must be completed by the applicant's employer to verify the work schedule provided on the FIA-1100. It serves as an official confirmation of the applicant's employment status and hours worked.
  • FIA-1100 (S) Work Schedule for Child Care (Spanish): This is the Spanish version of the FIA-1100 form, ensuring accessibility for Spanish-speaking applicants. It collects the same information regarding work schedules as the English version.
  • W-273NN (S) Child Care Return Appointment (Spanish): Similar to the W-273NN, this Spanish version facilitates communication for Spanish-speaking applicants, allowing them to schedule their return appointments effectively.
  • Child Care Provider Forms: Additional forms may be required for child care providers, which help to establish eligibility and ensure that the provider meets all necessary requirements for offering care.

Understanding these forms is vital for a smooth application process. Each document serves a specific purpose, contributing to the overall goal of securing child care assistance for those in need. Timely and accurate submission of these forms will help avoid delays in receiving support.

Similar forms

The FIA-1100 form, which details an applicant's work schedule for child care, is similar to the Child Care Return Appointment form (W-273NN). Both documents are essential in the child care assistance process. The W-273NN specifically outlines what forms need to be returned during a scheduled appointment, including the FIA-1100 and the FIA-1100a. This ensures that all necessary documentation is collected at the same time, streamlining the process for both applicants and staff.

The Employer’s Verification form (FIA-1100a) closely aligns with the FIA-1100 in purpose. While the FIA-1100 captures the applicant's work schedule, the FIA-1100a serves to verify that information with the employer. This two-step verification process ensures accuracy and accountability, as it requires confirmation from the employer regarding the applicant’s work hours.

Another document that shares similarities with the FIA-1100 is the Child Care Eligibility Verification form. This form requires applicants to provide evidence of their eligibility for child care assistance, including their work schedule. Just like the FIA-1100, this document plays a crucial role in determining how many hours of child care an applicant may require based on their employment status.

The Work Schedule for Other Adults in Household section of the FIA-1100 has parallels with the Family Assessment form. Both documents gather information about other adults in the household who contribute to child care needs. This ensures that all relevant work schedules are accounted for, which can affect the overall child care assistance provided.

The Cash Assistance Application form also shares similarities with the FIA-1100. Both documents require information about employment and work schedules, as applicants seeking cash assistance must demonstrate their need for child care based on their work commitments. This interconnection highlights the importance of work schedules in multiple forms of assistance.

The Self-Employment Verification form is another document that relates to the FIA-1100. While the FIA-1100 is primarily for those employed by others, the Self-Employment Verification form captures the work schedules of those who are self-employed. Both forms aim to establish a clear understanding of an individual's work commitments, which is essential for determining child care needs.

The Recertification form for child care assistance is similar to the FIA-1100 in that it requires updated information about an applicant's work schedule. As circumstances change, applicants must provide current details to ensure they receive the appropriate amount of assistance. This ongoing verification process is vital for maintaining accurate records.

The Employment Verification form is another document that complements the FIA-1100. While the FIA-1100 collects information directly from the applicant, the Employment Verification form is typically completed by the employer. Both forms work together to confirm the applicant's employment status and work hours, reinforcing the need for accurate and consistent information.

Lastly, the Child Care Provider Information form shares a connection with the FIA-1100. This document collects details about the child care provider, while the FIA-1100 focuses on the applicant's work schedule. Together, they help establish a comprehensive view of the child care situation, ensuring that all necessary information is available for assessment and approval.

Dos and Don'ts

When filling out the FIA-1100A E form, there are some important do's and don'ts to keep in mind. Following these guidelines can help ensure that your application is processed smoothly.

  • Do provide accurate information about your work schedule and employer.
  • Do complete the form during your interview if possible.
  • Do ensure both parents or guardians’ work schedules are included if applicable.
  • Do sign and date the form before submitting it.
  • Do keep a copy of the completed form for your records.
  • Don’t leave any sections blank; fill in all required fields.
  • Don’t submit the form without your employer’s verification if required.
  • Don’t forget to include total weekly hours worked and travel time.
  • Don’t assume the information from previous applications is still valid; verify all details.
  • Don’t wait until the last minute to complete the form; allow time for any corrections.

Misconceptions

  • Misconception 1: The FIA-1100A form is optional for all applicants.
  • This is incorrect. The FIA-1100A form is mandatory for applicants or participants who are requesting child care assistance. It serves as the employer's verification of the applicant's work schedule, which is necessary to determine eligibility for child care payments.

  • Misconception 2: Self-employed individuals do not need to submit any forms.
  • While it is true that self-employed individuals are not required to complete the FIA-1100A, they still must provide necessary documentation regarding their work schedule. This ensures that their child care needs are accurately assessed.

  • Misconception 3: The FIA-1100 and FIA-1100A can be submitted at any time.
  • This is misleading. These forms must be completed and submitted during the application process or at recertification. Failure to do so can delay the authorization of child care payments.

  • Misconception 4: Only the applicant needs to provide a work schedule.
  • In fact, if there is a second employed parent or guardian in the household, their work schedule must also be included on the FIA-1100. This comprehensive approach ensures that all relevant information is considered when assessing child care needs.

  • Misconception 5: The FIA-1100A does not need to be returned immediately.
  • This is not accurate. The FIA-1100A must be returned with the employer's verification promptly. If it is not submitted, the applicant may face delays in receiving child care assistance.

  • Misconception 6: The FIA-1100 form can be filled out after the interview.
  • This is incorrect. The FIA-1100 must be completed on the same day as the interview. If the applicant cannot provide a permanent schedule at that time, they must submit it at the child care return appointment.

Key takeaways

  • The FIA-1100A E form is used to verify an applicant's or participant's work schedule for child care assistance.

  • Every individual requesting child care must provide their work schedule to justify the required hours of care.

  • Applicants must complete the FIA-1100 form on the same day as their interview, even if their schedule is variable.

  • If a second employed parent or guardian exists, their work schedule must also be included in the FIA-1100 form.

  • Self-employed individuals do not need to fill out the FIA-1100A form.

  • Failure to return the FIA-1100A will not result in adverse action, as long as the FIA-1100 is filed.

  • The FIA-1100A must be completed by the employer and returned by the applicant to finalize child care authorization.