Cf 2900 Form PDF Details

The Cf 2900 form, serving as the gateway to the Affordable Child Care Benefit, stands as a crucial document for many families across regions where the struggle to find financially accessible child care solutions is real and pressing. The information collected through this meticulously designed form is guided by the principles of the Freedom of Information and Protection of Privacy Act to adhere to the administration requirements of the Child Care Subsidy Act. This form not only captures detailed personal and familial information—ranging from the applicant's identity, the structure of the family unit to the specific needs of the children within it—but it also outlines the reasons for needing child care, thereby ensuring that the assistance provided aligns perfectly with the needs and circumstances of each household. It digs deeper into the financial terrain of the applying family by requiring consent to access income information through the Canada Revenue Agency, which becomes a determinant in the eligibility assessment for the benefit. Furthermore, it emphasizes the necessity of accuracy and honesty in the information provided, underlining the legal implications of misinformation. The cohesive structure of the form facilitates a comprehensive understanding of the applicant's situation, thereby enabling a targeted and effective allocation of child care benefits, reflecting a dedicated effort to support families in need of affordable child care solutions.

QuestionAnswer
Form NameCf 2900 Form
Form Length7 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 45 sec
Other namescf2900 accb, child tax benefit application form, cf2900 application, cf2900 application form

Form Preview Example

Affordable Child Care Benefit Application

The personal information collected on this form is collected under the authority of the Freedom of Information and Protection of Privacy Act for the purpose of administering the Child Care Subsidy Act. The Freedom of Information and Protection of Privacy Act protects the personal information collected from unauthorized use and disclosure. If you have any questions about the collection, use or disclosure of this information, please call the Child Care Service Centre at 1-888-338-6622 or inquire in writing to the address at the end of this form.

Case ID (office use only)

See 'About Affordable Child Care Benefit' and the 'Forms and Documents Checklist' at the end of this form for more information or visit gov.bc.ca/affordablechildcarebenefit

Changes to any of the information you provide must be reported to the Child Care Service Centre at 1-888-338-6622.

Section 1 - Family Members

A 'Family' is the applicant, spouse or partner, and dependent children living in the home.

Applicant

Applicant's Last Name

First Name

Middle Name

Gender

 

 

Date of Birth (yyyy-mmm-dd)

 

 

Primary Phone Number

 

Primary Phone Number Type

 

 

 

Male

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

Home

 

Cell

 

Work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Secondary Phone Number

 

Secondary Phone Number Type

Social Insurance Number (SIN)

 

 

 

 

 

 

 

 

 

Home

 

Cell

 

Work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you participating in the Single Parent

 

Yes

 

No

 

 

Employment Initiative (SPEI)?

 

 

 

 

 

 

 

 

 

 

Did an MCFD or aboriginal agency social worker

 

Yes

 

No

 

 

arrange or recommend your child care?

 

 

 

 

 

 

 

 

 

 

Status in Canada:

 

Canadian Citizen

 

Permanent Resident of Canada

 

Convention Refugee/Person in Need of Protection

Marriage or Marriage-like Relationship Status:

Single, separated, divorced or widowed. (Spouse section not required)

Married, or living in a marriage-like relationship (Spouse section required)

Home Address

Unit #

Home Address

City/Town

Province

Postal Code

Mailing Address

Unit #

Mailing Address

City/Town

Province

Postal Code

Spouse

A person who resides with the parent in a married, or marriage-like relationship for at least 3 months who shares income and/or expenses and who has a social and familial relationship.

 

Spouse's Last Name

First Name

Middle Name

 

 

 

 

 

 

 

Gender

 

 

Date of Birth (yyyy-mmm-dd)

Social Insurance Number

 

 

Male

 

Female

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dependent Children

The number of dependants living in your home affects your eligibility. List all dependent children under the age of 19 living in the home even if child care is not required for the child.

Last Name

First Name

Middle Name

Gender

Male Female

Date of Birth (yyyy-mmm-dd)

This person (check all that apply):

 

requires

 

is a child with designated

 

 

 

 

 

childcare.

 

special needs.

 

 

 

 

is a child living with you via a ministry placement.

CF2900_(19/04)

Security Classification: MEDIUM SENSITIVITY

Page 1 of 7

 

Last Name

 

 

 

First Name

 

 

 

 

Middle Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender

 

 

Date of Birth (yyyy-mmm-dd)

This person (check all that apply):

 

 

 

 

Male

 

Female

 

 

 

requires

 

is a child with designated

 

is a child living with you

 

 

 

 

 

 

 

 

 

 

 

 

 

childcare.

 

special needs.

 

via a ministry placement.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

 

First Name

 

 

 

 

Middle Name

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender

 

 

Date of Birth (yyyy-mmm-dd)

This person (check all that apply):

 

 

 

 

Male

 

Female

 

 

 

requires

 

is a child with designated

 

is a child living with you

 

 

 

 

 

 

 

 

 

 

 

 

 

childcare.

 

special needs.

 

via a ministry placement.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name

 

 

 

First Name

 

 

 

 

Middle Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Gender

Male Female

Date of Birth (yyyy-mmm-dd)

This person (check all that apply):

 

requires

 

is a child with designated

 

 

 

 

 

childcare.

 

special needs.

 

 

 

 

is a child living with you via a ministry placement.

Do you share custody of any of these children?

Yes

No

If yes, please enter the details of the custody arrangement. Include the name of the child(ren), days and times they reside with you (use section 4 on page 3 if you require more space).

Section 2 - Reason for Needing Child Care

To be eligible, you and your spouse need a reason for child care. Select your reason below. If eligible, the Affordable Child Care Benefit may be provided for the time doing this activity. You are responsible for any extra care if you choose to have care during other days or times. If the reason is medical, the amount of Child Care supported will be listed by your doctor on the Medical Condition Form. If you are referred by a Social Worker, the amount of time supported will be listed by the Social Worker on your Referral for Affordable Child Care Benefit Form. If your child attends a licensed preschool, only the time spent at the licensed preschool will be supported unless there is an additional reason for care.

Applicant

 

Do you have (check all that apply):

 

a medical condition?

 

a child in a licensed preschool?

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you currently (check all that apply):

 

 

 

 

 

 

 

 

 

employed

 

self-employed

 

 

attending an employment program

 

 

attending school

 

looking for work

 

 

 

 

 

 

 

 

Name of employer(s), school, training program, or state "looking for work"

Start Date (yyyy-mmm-dd)

End Date (yyyy-mmm-dd)

Days per week you do this activity on days when you also require child care (check all that apply)

 

 

Mon

 

Tues

 

 

 

Wed

 

Thu

 

 

 

 

 

Fri

 

 

Sat

 

 

Sun

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you have a set schedule, you usually:

 

 

 

 

 

 

 

 

 

 

 

If your schedule varies, you average:

 

Start at:

 

 

 

AM

 

PM

and End at:

 

 

 

AM

 

 

PM

hours per day:

days per week:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Information (or attach a schedule)

Spouse

 

Does your spouse have (check all that apply):

 

a medical condition?

 

a child in a licensed preschool?

 

 

 

 

 

 

 

 

 

 

 

 

 

Is your spouse currently (check all that apply):

 

 

 

 

 

 

 

 

 

employed

 

self-employed

 

 

attending an employment program

 

 

attending school

 

looking for work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of employer(s), school, training program, or state "looking for work"

Start Date (yyyy-mmm-dd)

End Date (yyyy-mmm-dd)

CF2900_(19/04)

Security Classification: MEDIUM SENSITIVITY

Page 2 of 7

Days per week you do this activity on days when you also require child care (check all that apply)

 

 

Mon

 

Tues

 

 

 

Wed

 

Thu

 

 

 

 

 

Fri

 

 

Sat

 

 

Sun

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If your spouse has a set schedule, they usually:

 

 

 

 

 

 

 

 

If your spouse's schedule varies, they average:

 

Start at:

 

 

 

AM

 

PM and End at:

 

 

 

AM

 

 

PM

hours per day:

days per week:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Additional Information (or attach a schedule)

Section 3 - Income

Eligibility for the Affordable Child Care Benefit is partially based on income. You will need to consent to having your income information disclosed by the Canada Revenue Agency (CRA). This consent is required even if you have not filed your tax return within the last two years. The Child Care Service

Centre will use your most recent tax information, within the last two years, from CRA to assess your eligibility. Complete the Consent to Collect CRA Records (CF2930) form for you and your spouse (if applicable) located on the last page of this application.

If you or your spouse (if applicable) have not filed a tax return with CRA within the last two years, or if you are applying for an Income Review, you must also complete the Income Declaration (CF2933) form.

Section 4 - Comments

Please provide any additional information you would like us to know about.

Section 5 - Declaration and Consent

Applicant:

•I confirm the information I have supplied is true and complete.

•I understand I am required to promptly supply information to the Child Care Services Centre if there is a change in my or my family’s circumstances affecting my eligibility for the benefit

•I understand it is an offence under the Child Care Subsidy Act to supply false or misleading information.

•I understand a benefit may be paid from the first day of the month in which the application is completed, or the date child care begins, whichever is later. I am responsible for child care fees prior to this date.

•I consent to the verification of information provided regarding this application, or any subsequently provided information.

•I authorize third parties to disclose personal information about me to verify information I have supplied and that the minister needs for the purposes of determining or auditing my eligibility for the benefit as set out in section 5 of the Child Care Subsidy Act.

•I consent to the indirect collection by the Child Care Service Centre of verifying information disclosed to it by third parties for the purpose of determining or auditing my eligibility for the Affordable Child Care Benefit.

Consent to share information

As the applicant, do you consent to the disclosure of information to your spouse, as identified on this form, relating to this application or your eligibility for Affordable Child Care Benefit by the Child Care Service Centre?

Yes. Share information with my spouse. If I wish to withdraw this consent, I may do so at any time by writing to the Child Care Service Centre.

No. Do not share any information about this application or my eligibility with my spouse and remove any previous consent to share.

This application is not valid until it has been signed and dated

Applicant's Name (please print)

Applicant's Signature

Date Signed (yyyy-mmm-dd)

CF2900_(19/04)

Security Classification: MEDIUM SENSITIVITY

Page 3 of 7

Spouse or Partner

•I confirm the information I have supplied is true and complete. I understand it is an offence under the Child Care Subsidy Act to supply false or misleading information.

•I consent to the indirect collection by the Child Care Service Centre of verifying information disclosed to it by third parties for the purpose of determining or auditing my eligibility for the Affordable Child Care Benefit. I authorize third parties to disclose personal information about me to verify information I have supplied and that the minister needs for the purposes of determining or auditing eligibility for the benefit as set out in section 5 of the Child Care Subsidy Act.

Spouse's Name (please print)

Spouse's Signature

Date Signed (yyyy-mmm-dd)

Submit your Completed Application and Supporting Documents

Fax or mail your completed application and supporting document copies to the Child Care Service Centre. Keep a copy for your records.

If you are faxing your application, please print your name on the top of every page.

Toll Free Fax:

1-877-544-0699

Mailing Address: Child Care Service Centre

PO Box 9953 Stn Prov Govt

Victoria BC V8W 9R3

For more information, call the Child Care Service Centre toll free at 1-888-338-6622.

CF2900_(19/04)

Security Classification: MEDIUM SENSITIVITY

Page 4 of 7

About the Affordable Child Care Benefit

What is the Affordable Child Care Benefit?

The Affordable Child Care Benefit is a monthly benefit to help families with the cost of child care. The amount depends on your family's size, ages of the children, family income, and type of child care.

Who can apply?

Parents or guardians who are B.C. residents and Canadian citizens (including permanent residents or convention refugees) can apply. If you have an eligible reason for needing child care, and you fall below or within the income range, you may be eligible for a full or partial benefit.

How Does the Affordable Child Care Benefit Work?

Step 1 Find a child care provider and complete the Child Care Arrangement Form

Step 2 Complete your Application and gather your supporting documents

Applicants are asked to submit supporting documents with their application. The list on the next page will help you know what to submit.

Step 3 Submit your Application

Avoid delays by submitting all of your supporting documents with your Affordable Child Care Benefit Application. Fax or mail to the Child Care Service Centre.

Step 4 Your child care provider submits a claim for payment

If you are eligible, you and your child care provider will receive a Benefit Plan that outlines the amount of your monthly benefit, the start and end date of monthly benefit payments, and a list of all children in your family receiving a benefit for child care.

Step 5 When your Benefit Plan Ends

The Child Care Service Centre will send you a reminder letter when your Benefit Plan ends. To avoid delays, keep track of the Benefit Plan end date and ensure your address is current. You will need to provide updated information to ensure continued eligibility.

What happens if you are not eligible for the Affordable Child Care Benefit?

A letter will be sent to you telling you the reason(s) why you are not eligible.

If you don’t agree with the decision, you may ask for a reconsideration.

Eligible reasons for needing child care

working or self-employed attending school or enrolled in distance education

enrolled in an employment program

looking for work (only 1 parent at a time)

a medical condition

a child attending a licensed preschool

a referral by a Ministry or Delegated Aboriginal Agency social worker

Contact Us

Child Care Service Centre

Toll Free: 1-888-338-6622

Fax: 1-877-544-0699

Translation services

Call the Child Care Service Centre and ask for a translator. Translation services are available in over 150 languages.

Need Help?

Child Care Resource and Referral (CCRR)

For help finding a child care provider in your area or with your application, visit www.ccrr.bc.ca to locate your local office.

Forms

Available on the Website or at your local CCRR office.

Website

gov.bc.ca/affordablechildcarebenefit

For Information Only - Do not submit this page with your application.

Forms and Documents Checklist

Which Supporting Documents are Required with my Application?

Forms are available at gov.bc.ca/affordablechildcarebenefit

Child Care Arrangement Form (CF2798)

You and your Child Care Provider must complete this form. A separate form is required for each child care provider.

Identification for all Family Members

A copy of government-issued identification (birth certificate, Canadian Citizenship Card, passport, driver's license, provincial identification, BC Services Card, Certificate of Indian Status Card).

Citizenship Status in Canada for Applicant

A copy of any formal document issued by Citizenship and Immigration Canada that confirms your status in Canada.

Special Needs Form (CF2951) for children designated as special needs

Proof of Reason for Needing Child Care

Reason for needing child care

Documents required to support your proof of reason

 

 

Education

Student loan notice of assessment or school registration and class

 

schedule

Looking for work

Keep track of looking for work activities (CF2910)

 

 

Employment Program or SPEI

Copies of registration in employment program or SPEI Action Plan

 

 

Medical Condition

Medical Condition Form (CF2914)

 

 

Social Worker Referral

Referral to Affordable Child Care Benefit (CF2044) from Social Worker

 

 

Child attending preschool

Child Care Arrangement Form (CF2798)

 

 

Proof of Family Income

The attached Consent to Collect CRA Records (CF2930) form is required for you and your spouse (if applicable) even if you have not filed your tax return within the last two years.

The Income Declaration (CF2933) form is also required to declare your or your spouse’s income if either of you have not filed a tax return with CRA within the last two years, or if you are applying/have applied for an Income Review.

For Information Only - Do not submit this page

Send Copies of your Documents. Not the originals.

Affordable Child Care Benefit

Consent to Collect CRA Records

The personal information collected on this form is collected under the authority of the Freedom of Information and Protection of Privacy Act for the purpose of administering the Child Care Subsidy Act. The Freedom of Information and Protection of Privacy Act protects the personal information collected from unauthorized use and disclosure. If you have any questions about the collection, use or disclosure of this information, please call the Child Care Service Centre at 1-888-338-6622 or inquire in writing to the address at the end of this form.

This form is required for the applicant and spouse (if applicable) to consent to collect CRA income records for the purpose of assessing eligibility for the Affordable Child Care Benefit.

I hereby consent to the disclosure of information from my income tax records, and other taxpayer information, by the Canada Revenue Agency to an official of the Ministry of Children and Family Development. The information disclosed will be relevant to, and used solely for the purpose of, determining and verifying my eligibility for child care subsidy and for determining the amount of my benefit under the Affordable Child Care Benefit under the Child Care Subsidy Act. The information disclosed by the Canada Revenue Agency to the Ministry of Children and Family Development will be protected from unauthorized use or disclosure and will only be used and disclosed in accordance with the Freedom of Information and Protection of Privacy Act.

I also permit the Ministry of Children and Family Development to collect information from my income tax records, and other income tax information, from the Canada Revenue Agency, instead of directly from me.

I also consent to the disclosure of my first and last name, birth date and Social Insurance Number by the Ministry of

Children and Family Development to the Canada Revenue Agency. This information will be used by the Canada Revenue Agency to identify the taxpayer information to be disclosed to the Ministry of Children and Family Development.

I further permit the Ministry of Children and Family Development to display my income tax information from the Canada Revenue Agency on my assessment letter, and if registered for My Family Services, on the electronic online portal, for the purpose of describing how financial eligibility was calculated.

This consent permits the Canada Revenue Agency to disclose information from my tax records and other taxpayer information from the two most recent taxation years prior to the year of signature of this consent, the year of the

signature, and each subsequent consecutive taxation year for which benefit is requested by me or on my behalf. It may be revoked at any time by sending a notice to the Director of the Child Care Service Centre. The statement of consent

and any subsequent revocation can be provided in paper or electronic format.

Applicant Full Legal Name

Applicant Signature

Spouse Full Legal Name

Spouse Signature

Social Insurance Number

Date Signed (yyyy-mmm-dd)

Social Insurance Number

Date Signed (yyyy-mmm-dd)

Once completed, please fax or mail to the Child Care Service Centre

Toll Free Fax 1-877-544-0699

Mailing Address

Toll Free Phone 1-888-338-6622

Child Care Service Centre

 

PO Box 9953 Stn Prov Govt

 

Victoria BC V8W 9R3

CF2930_(19/04)

Security Classification: MEDIUM SENSITIVITY

Page 7 of 7

How to Edit Cf 2900 Form Online for Free

You could complete cf2900 form effortlessly with the help of our online PDF editor. To make our editor better and more convenient to use, we consistently work on new features, bearing in mind feedback from our users. This is what you'd need to do to get started:

Step 1: Press the "Get Form" button above on this page to open our editor.

Step 2: As you start the tool, you'll see the form prepared to be filled in. Apart from filling in different blank fields, it's also possible to perform several other things with the file, specifically writing custom words, modifying the initial textual content, inserting graphics, placing your signature to the document, and more.

To be able to finalize this document, make sure that you type in the necessary details in every single field:

1. To get started, when filling out the cf2900 form, begin with the part that contains the following fields:

child tax benefit application form completion process clarified (part 1)

2. After this selection of blank fields is done, go to type in the relevant details in all these: Spouse A person who resides with, Spouses Last Name, First Name, Middle Name, Gender, Date of Birth yyyymmmdd, Social Insurance Number, Male, Female, Dependent Children The number of, Last Name, First Name, Middle Name, Gender, and Date of Birth yyyymmmdd.

Writing part 2 in child tax benefit application form

Those who work with this document frequently make mistakes when completing Middle Name in this section. You need to reread everything you enter right here.

3. The next section is fairly easy, Last Name, First Name, Middle Name, Gender, Date of Birth yyyymmmdd, This person check all that apply, Male, Female, requires childcare, is a child with designated special, is a child living with you via a, Last Name, First Name, Middle Name, and Gender - each one of these form fields will need to be filled out here.

Learn how to complete child tax benefit application form step 3

4. To go onward, this fourth part will require typing in a few blanks. These comprise of Applicant, Do you have check all that apply, a medical condition, a child in a licensed preschool, Are you currently check all that, employed, selfemployed, attending an employment program, attending school, looking for work, Name of employers school training, Start Date yyyymmmdd, End Date yyyymmmdd, Days per week you do this activity, and Mon, which you'll find integral to carrying on with this particular form.

Ways to complete child tax benefit application form step 4

5. The document should be finished with this particular segment. Below there can be found a full list of form fields that require accurate information to allow your form usage to be complete: employed, selfemployed, attending an employment program, attending school, looking for work, Name of employers school training, Start Date yyyymmmdd, End Date yyyymmmdd, Security Classification MEDIUM, and Page of.

child tax benefit application form completion process clarified (part 5)

Step 3: Prior to finishing the file, check that blank fields were filled in the right way. The moment you are satisfied with it, press “Done." Get your cf2900 form as soon as you join for a free trial. Immediately use the pdf file inside your personal account page, with any modifications and adjustments being all synced! FormsPal guarantees your data privacy via a secure method that in no way saves or distributes any sort of private data provided. Rest assured knowing your docs are kept confidential any time you use our service!

Cf 2900 Form isn’t the one you’re looking for?

Related Documents