Ensuring the timeliness and accuracy of child care payments is crucial for both parents and providers, an aspect effectively addressed by the introduction of the CS-577 form. This essential document, updated in October 2008, serves as a child care payment inquiry form within the realm of children's services. Its primary purpose is to offer a streamlined process for addressing delays or issues concerning child care payments. Before considering the submission of this form, it is recommended that individuals first attempt to resolve their concerns through the designated hotline, ensuring that the problem is not promptly rectifiable without formal documentation. Additionally, the form stipulates that payment delays should exceed one month, discouraging premature inquiries and emphasizing its role as a measure of last resort. Detailed instructions guide the parent or guardian through providing relevant information, including personal details, child or children's names, the start date of care, and specific case numbers that facilitate the identification and processing of their case. The form also requests details about the care provider, including a name, program ID, and contact information, to adequately address and rectify any payment issues. Furthermore, it leaves space for documenting any previous attempts to resolve payment issues, underlining the importance of a thorough and well-documented inquiry process. Through the CS-577 form, Child Care Support Services in New York City offers a structured and efficient avenue for ensuring that payments are processed accurately and timely, reflecting a commitment to the welfare and stability of child care arrangements.
| Question | Answer |
|---|---|
| Form Name | Form Cs 577 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | PROVIDER, CS-577, 16th, NY |
REV.10/08
CHILDREN'S SERVICES
CHILD CARE PAYMENT INQUIRY FORM
Please do not send in this form unless 1) You have already attempted to resolve your problem through the Hotline, AND 2) Your payment has been delayed more than one month (ex. Do not send this form in October unless you are missing a payment for August or earlier.)
DATE: ./ /
RETURN TO: Child Care Support Services 109 East 16th Street, 3rd Floor New York, NY 10003 Fax #: (212)
PARENT'S NAME |
CHILD/REN NAMES |
START DATE OF CARE |
1
PA CASE NUMBER:
2
ACCIS CASE NUMBER:
3
DAY TIME TELEPHONE NUMBER:
4
Attach page(s) for additional children.
PROVIDER/PROGRAM INFORMATION:
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PROVIDER/ |
NAME: ___________________________________ |
PROGRAM ID #: |
DAY TIME TELEPHONE # ___________________ |
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PROVIDER ADDRESS: ______________________ |
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________________________________________ |
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OTHER COMPLAINT(S): _____________________ |
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PREVIOUS REQUESTS
CALLED CHILD CARE HOTLINE AT |
SPOKE WITH CHILD CARE STAFF |
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Date: |
Date: |
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Time: |
Time: |
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Operator's Name: |
Staff Person's Name: |
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Results: |
Results: |
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