``This notice is to inform you that child care services will be terminated in two weeks because at this time I am unable to continue offering child care services for your family. Your child's last day of care will be (date). Your remaining balance for the last two weeks of care is (amount) and is due on (date).''
About Form 2441, Child and Dependent Care Expenses.
Day Care Center AgeWeeklyDaily Under 1 ½ $406.00 $80.00 1 ½ – 2 $370.00 $75.00 3-5 $325.00 $67.00 6-12 $300.00 $60.00
To complete your recertification: Complete the Household Information for Child Care Recertification Form CS-1067 (PDF). List all household members. Complete and sign the Income from Employment and Other Sources Form CS-1068 (PDF). Review the list of Documentation Required for Child Care Eligibility CS-1070 (PDF).
Fill in your personal information, including your name, contact information, and employee identification number if applicable. Provide details about your employment, such as your job title, start date, and current wage or salary.
Income Requirements Family SizeAnnual Income LimitMonthly Income Limit 1 $56,488.48 $4,707.37 2 $73,869.56 $6,155.80 3 $91,250.63 $7,604.22 4 $108,631.70 $9,052.642 more rows