Subsidy Questionnaire | HealthyKidsPrograms

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Take this quick questionnaire to find out if you could qualify for child care assistance!

First Name

Last Name

Email

Do you live in NYS?

Are your children citizens or have satisfactory immigration status?

Do you meet one of the following?

Do you fall under one of the following income levels?

Family of 2 $67,490.17 Annual Income Limit

Family of 3 $83,370.21 Annual Income Limit

Family of 4 $99,250.25 Annual Income Limit

Family of 5 $115,130.29 Annual Income Limit

Family of 6 $131,010.33 Annual Income Limit

I attest that I have answered this form honestly and accurately.

Thanks for submitting! Our Subsidy Specialist will be in touch with the results of the questionnaire and next steps via email.

GET IN TOUCH

Email

Subject

Message

Thanks for submitting!

MAIN OFFICE ADDRESS

PHONE

565 Union Ave New Windsor, NY 12553

845-330-0200

FAX

845-569-3925

JOIN OUR MAILING LIST

Thanks for submitting!

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