VA Form 0730b at a glance
What it is: VA Form 0730b, Child Care Provider Information, is the form for the Child Care Subsidy Program.
Who signs: The provider signs in ink.
Employees approved to participate in the VA Child Care Subsidy Program must use this form to request monthly child care subsidy benefit payments.
A filled-in VA Form 0730b example: a provider completes the form
How to fill out VA Form 0730b, box by box
Parent information
In Part I, enter the name of the parent or legal guardian with a child in the provider's care and the federal agency of the parent.
Type of provider and child care services
Under Type of provider (check only one), mark Center Based, Family Home Based Care, VA Child Center, School-Based Care or Other Federal Child Care.
Under Child care services (check only one), mark Full-Time Care, Before School Care, After School Care or Before and After School Care.
Child care provider
Enter the name of the child care provider, the address of the child care provider (include street number, city, state, ZIP Code) and the provider e-mail address.
Enter the provider telephone number and the tax identification no. or social security no.
Enter the provider fax number, the license number of the provider, the state in which license is issued and the license expiration date (MM/DD/YYYY).
Child information
In Part III, furnish the information below and attach a copy of your latest license and/or regulatory document and schedule of fees.
For each child, enter the name of each child in the parent's family enrolled (last, first, middle initial) in A and the enrollment date (MM/DD/YYYY) in B.
In C: does the child receive any other subsidy? If YES, complete D and E.
If YES, enter the source of subsidy in D and the amount of subsidy in E.
Enter the total weekly fee for the child in F.
Certification and signature of provider
In Part IV, by signing you certify that the information is true and correct to the best of your knowledge. Under United States Code 18, Section 1001, it is a Federal crime to make a false statement on this form. If you make a false statement, you agree to be subject to criminal prosecution and punishment including a fine, imprisonment, or both.
In Part IV, enter the name of provider, the title of provider representative, the signature of provider (sign in ink) and the date signed (MM/DD/YYYY).
More rules for VA Form 0730b
As a participant in the VA Child Care Subsidy Program, you are eligible to receive a subsidy to be applied towards your child care cost. Your monthly child care subsidy will be forwarded to your child care provider on your behalf. However, you are responsible for the payment of your total child care cost and must pay the full amount on all invoices issued to you by your child care provider, if no VA CCSP benefit credit is available on your account.
Common questions about VA Form 0730b
Is there a deadline?
Upload the request for benefits into CCRMS by the 15th of each month unless the date falls on a weekend and/or holiday, then the submission deadline will move to the business day following it.
Where do I file it?
An invoice from the child care provider must be prepared indicating the total cost of daycare and uploaded into the Child Care Record Management System (CCRMS) each month benefits are requested. The child care provider's invoice should include the name and address of the provider or company, the provider's Federal tax identification number, a description of services and the total cost of monthly services. Request for benefits should be uploaded into CCRMS.
Sources
[1] VA Form 0730b (SEP 2024), Child Care Provider Information, Department of Veterans Affairs (the Official source link on this page).