Dd Form 2652 - Application For Department Of Defense Child Care Fees printable pdf download

Dd Form 2652 - Application For Department Of Defense Child Care Fees

Marine Corps Installations West-Marine Corps Base

Camp Pendleton

Camp Pendleton, CA 92055-5020

FAMI

FAMILY CHILD CARE

1755

MCCSM&FP

01 Oct 14

1. This Subsidy Program pertains to the Family Child Care Providers aboard Camp Pendleton and

for:

• Children ages 6 weeks through 24 months old.

• Full-time care only (30 – 50 hours per week).

• Special Needs care is determined by the Special Needs Evaluation Review Team (SNERT).

• Single/Dual Active Duty Military living or working aboard Camp Pendleton.

• Active Duty Military w/Civilian Spouse working full-time (30 hours or more per week).

• Active Duty Military w/Civilian Spouse enrolled in school full-time (minimum of 12 units

per semester).

• Civilians working full-time aboard Camp Pendleton (30 hours or more per week).

2. Supporting documents necessary to process your application are as followed:

• Recent LES for active duty parent(s)

• Recent pay stub for civilian spouse /or New Hire letter on business letterhead, to include:

Employee name, hourly wage, total hours scheduled per week (30 hours or more)

• School Registration for parent attending school Full-time (minimum: 12 units per semester).

• Command Verification letter for “Single/Divorce parent”

• Dependency Application Form 1751(NAVMC 10922), Current copy is required for

single/divorced active duty parent.

• Supporting Legal documentation for separated and/or divorced parent(s).

Copies of the above documents must be attached to the Department of Defense Child Care Fees

application (DD Form 2652) and submitted to the FCC office located at Bldg. #13150 M&FP

Headquarters office #111 or

fax to 725-7097.

3. To check the status of your subsidy application

please allow three to five business days for

application process

and for all other questions pertaining to the subsidy program, please contact

FCC office at 725-7631.

The chart below outlines the income categories as well as the parent’s weekly fee (per qualifying

child) due to the provider.

INCOME CATEGORY

PARENT WEEKLY FEE

$ 0 - $ 30,164

$59.00

$ 30,165 - $ 36,627

$74.00

$ 36,628 - $ 47,399

$90.00

$ 47,400 - $ 59,249

$105.00

$ 59,250 - $ 75,408

$121.00

$ 75,409 - $ 87,207

$130.00

$ 87,208 - $ 102,596

$133.00

$ 102,597 - $ 128,245

$136.00

$ 128,246 +

$139.00

Dd Form 2652 - Application For Department Of Defense Child Care Fees

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