Blank Cs 274W Template

What is the CS 274W form used for?

The CS 274W form, also known as the Child Care Provider Enrollment Supplement, is designed for unregulated child care providers. It is a supplementary form that must be completed in conjunction with the LDSS-4699 or LDSS-4700 forms. This form collects essential information about both the parent or caretaker and the child care provider, facilitating the enrollment process for child care assistance programs.

Who needs to fill out the CS 274W form?

Both parents or caretakers seeking child care services and unregulated providers offering such services must fill out the CS 274W form. Parents need to provide their details and the child care provider's information, including rates and services offered. If the provider is a regulated or licensed facility, they do not need to fill out the full LDSS forms but will still need to complete parts of the CS 274W.

Is it mandatory to provide a Social Security number on the form?

No, providing a Social Security number is optional. While it can help identify your child care file and may be used by various agencies to prevent fraud, you cannot be forced to disclose it as a condition for receiving child care services. Parents should feel comfortable deciding whether or not to provide this information.

What must a provider do if they are under 18 years old?

If the child care provider is less than 18 years old, they must complete an Employment of Minors Form. This form is required to ensure compliance with labor laws that govern the employment of minors in child care settings.

What kind of identification is required from informal providers?

Informal providers must provide documentation to prove both their identity and residency to be eligible for payment from the Administration for Children's Services (ACS). To assist with this process, parents can ask their ACS Worker for the associated list of acceptable identification types, referred to as the "Proof of ID and Residency for Your Child Care Provider" (CS-574FF).

How does payment for child care services work?

Payment for child care services occurs once attendance data is submitted to ACS, provided that the parent or guardian continues to participate in approved activities or employment. If the stipulated conditions are not met, ACS will notify the provider that payments will cease. Providers must ensure that their rates do not exceed what they charge other clients for similar services to maintain compliance.

What happens if false information is provided on the form?

Providing false information on the CS 274W form can lead to significant consequences, including suspension or termination of payments. Additionally, there may be a requirement for the recovery of any funds not rightfully earned due to inaccurate information. It's essential for both providers and parents to accurately represent all details to avoid complications later.

1. Incomplete Information: Failing to provide all required fields such as the PARENT/CARETAKER'S NAME, ADDRESS, or CASE NUMBER can delay processing. Each section is vital for accurate identification and service provision.

2. Incorrect Dates: Miswriting dates, particularly the Provider's Date of Birth or the Expiration Date of the provider's license, can lead to confusion and potential delays in approval. Always double-check dates for accuracy.

3. Missing Signature: Forgetting to sign the form at the designated areas can result in automatic rejection of the application. Both the provider and the parent/guardian must sign to certify correctness and agreement.

4. Omitting Child Care Rates: Not listing all applicable rates for different age groups can cause issues when determining the reimbursement amount. It is important to specify rates for infant, toddler, preschool, and school-age categories.

5. Insufficient Documentation: If the provider is unregulated, failing to submit required identification and proof of residency will hinder payment processing. It is essential to check that all necessary documents are included with the form.

The CS-274W form is an essential tool for enrolling child care providers in the system. However, several other documents often accompany it to ensure a smooth and compliant process. Familiarizing yourself with these documents will help streamline your application and prevent any potential delays. Here is a list of forms you might encounter:

• LDSS-4699: This is the Child Care Provider Enrollment Form. It gathers basic information about the provider and is mandatory for all unregulated providers. It complements the CS-274W by providing comprehensive background details.
• LDSS-4700: Utilized mainly for child care subsidy benefits, this form assesses the family's eligibility for assistance in childcare costs. This form works alongside CS-274W to ensure that both the provider and the parent meet the necessary criteria.
• CS-574FF (Proof of ID and Residency): This form lists the acceptable types of identification and residency proof that informal child care providers must submit. It is crucial for ensuring that all providers are verified before receiving payments.
• Employment of Minors Form: Required if the child care provider is under 18 years old. This form ensures compliance with labor laws regarding the employment of minors and is necessary for their eligibility.
• Provider Rate Schedule: Although not an official form, this schedule outlines child care rates. Providers often use it to document their fees and provides clarity for the parents regarding costs associated with care services.
• Child's Attendance Log: This document tracks the hours and days that the children attended care, needed for payment processing and compliance. Accurate records help ensure that payments are made according to the agreed-upon rates.
• Annual Provider Agreement: This is a recurrent agreement that must be signed annually between the provider and the agency. It outlines the terms of service, payment processes, and any changes in guidelines or policies affecting child care services.

Understanding these forms and their functions is crucial. Having them ready when filing your CS-274W can expedite processing and reduce stress. Each document plays a role in verifying provider eligibility, ensuring compliance, and facilitating communication between parents, providers, and the agency.

The Child Care Provider Enrollment Supplement (CS-274W) shares similarities with the Child Care Certification Form, commonly used for providers to certify their qualifications and services. Both require pertinent details about the provider, such as name, address, and contact information. Furthermore, both documents serve to validate the child's eligibility for childcare services based on the parent's or caretaker's qualifications. This ensures that families receive quality care within the scope of legal and regulatory frameworks.

Another related document is the Child Care Subsidy Application. Like the CS-274W, this form captures essential information regarding both the provider and the child receiving care. It focuses on income verification and the financial need of families applying for assistance. Both documents aim to streamline the process for receiving childcare assistance while requiring accurate information about the care being provided.

The Provider Enrollment Form works in much the same manner as the CS-274W. It functions to enroll new childcare providers into the system and collects data pertinent to their services. Similar to CS-274W, the Provider Enrollment Form typically includes fields for provider identification, service rates, and acknowledgment of the terms and conditions involved in providing childcare services.

The Employment of Minors Form complements the CS-274W by addressing the legal aspects of employing minors. If the childcare provider is under 18 years old, this form is required to ensure compliance with labor laws. Both forms emphasize transparency and legality in childcare arrangements to protect both providers and children.

The Parent and Caretaker Self-Assessment Form is another document similar to the CS-274W. It examines the eligibility of parents or caretakers seeking childcare assistance. It collects similar demographic information, such as social security numbers and addresses, ensuring that proper checks are in place. This creates a comprehensive overview of the family's situation to determine eligibility.

The Proof of ID and Residency for Your Child Care Provider (CS-574FF) is also closely tied to the CS-274W. While the CS-274W registers the provider, the CS-574FF verifies their identity and residency, essential for unregulated providers. Both documents enforce the requirement for proper documentation to ensure safe childcare arrangements and prevent fraud.

The Child Care Payment Voucher details the arrangements for payment between parents and providers, paralleling the payment terms outlined in the CS-274W. It requires information regarding the agreed-upon rates, payment schedules, and service dates. Both forms are crucial for maintaining clear communication about financial exchanges in childcare services.

The Child Care Agreement outlines the formal contract between the provider and the family. Similar to the CS-274W, it specifies the terms of the childcare arrangement, including rates and responsibilities of both parties. This formal agreement helps minimize misunderstandings and provides a clear framework for the caregiver's role.

The Child Care Reporting Form is another document related to the CS-274W. It tracks the attendance of children in childcare programs. Like the CS-274W, this form requires detailed information about the child’s name, care schedule, and provider details. Both documents aid in ensuring that payment systems work effectively and that providers receive compensation for their services.

Finally, the Family Engagement Verification Form is a notable parallel. This document requires families to confirm their engagement in employment or training activities, important factors in continuing to receive child care services. Like the CS-274W, it reinforces the relationship between the provider's services and the family’s eligibility for assistance programs.

When filling out the CS 274W form, it is important to follow certain guidelines to ensure a smooth process. Here is a list of things you should and shouldn't do.

• DO provide your name and contact information accurately.
• DON'T forget to include the child's name and date of birth.
• DO ensure that the provider's information is complete and correct.
• DON'T leave any required sections blank; this could delay your application.
• DO list your rates clearly for each age group to avoid confusion.
• DON'T attempt to provide false information, as this could lead to penalties.
• DO sign and date the form to confirm that all details are accurate.
• DON'T submit the form without reviewing it multiple times for errors.
• DO consult your JOS/ACS Worker for assistance if needed.

The CS 274W form is essential for parents and caretakers seeking to enroll child care providers. However, several misconceptions exist about this form. Below are seven common misunderstandings and their clarifications:

• Misconception 1: The Social Security number is mandatory.

While the Social Security number is often included, the parent or caretaker cannot be required to provide it. This information is optional and is used for identification purposes only.

• Misconception 2: All caregivers need to be licensed providers.

Not all child care providers are regulated. Unregulated, informal providers can also offer care but must provide proper identification and residency documentation.

• Misconception 3: Relatives can be paid as child care providers for their own children.

Legally responsible relatives, such as parents and stepparents, are not permitted to receive payment for caring for their own child or children.

• Misconception 4: The form is only for licensed providers.

The CS 274W form is used by all child care providers, whether licensed or unregulated, when documentation is required for payment processing.

• Misconception 5: You do not have to report changes in child care status.

Parents or guardians must report any changes to ACS. Failure to do so may impact payment eligibility for child care services.

• Misconception 6: Only full-time care can be documented.

The form allows for part-time and hourly care rates to be recorded, accommodating various care schedules and needs.

• Misconception 7: Signing the form makes the provider an employee of the city.

Signing the CS 274W form confirms the provider's status as an independent contractor. The provider employs the parent or guardian for whom they care, not the City of New York.

The CS 274W form is an essential document used for enrolling child care providers in New York City. Ensuring it is accurately completed is vital for processing payments and compliance with requirements.

• Eligibility Details: Make sure you understand that parents or caretakers cannot be paid to care for their own children. This means legally responsible relatives cannot qualify as providers for their children.
• Use of Social Security Number: Providing your Social Security number is optional. While it helps identify your child care file, it cannot be a condition for eligibility.
• Identification Requirements: Informal providers must submit documentation of both identification and address to ensure payment from ACS. Seek guidance on what types of ID are acceptable.
• Rate Structure: Clearly state your weekly rates for different age groups. Ensure that these rates match what you charge other families for the same age group to comply with regulations.
• Agency Verification: Regulated providers should note that they are not required to complete certain other forms, like the LDSS-4699 or LDSS-4700; only the CS-274W is necessary.
• Payment Conditions: Payments will only be made as long as the parent or guardian is engaged in approved activities. Be aware that failure to maintain these criteria may result in the termination of payments.
• Certification Requirement: Both the provider and the parent or guardian must certify that the information is accurate. Any false statements could lead to serious consequences, including recovery of payments.
• Understand Access Rights: As a provider, you agree to allow parents unlimited access to their children while in your care. Be prepared to facilitate this access at all times.