Employee Verification Form. An authorized COMPANY REPRESENTATIVE (not the employee) must complete this form.This form is for families who are applying for child care for the first time. You can also apply online through MyCity. How to fill out the Riverside County Employment Declaration Form? 1. Gather all necessary personal and employment information. 2. Your local Early Learning Resource Center (ELRC) can help with filling out the Child Care Works application. THIS SECTION TO BE COMPLETED BY EMPLOYER: The company utilizes the services of The Work Number for all information pertaining to employment status. The Child Care Works program is designed to enable low-income families to maintain employment while ensuring children receive high quality child care. Every month, child care providers in the CalWORKs program will receive Provider Payment Request Forms (PPR).