Application For Child Care Fee Subsidy
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5545 Pembroke Street W.
Pembroke, ON Canada
K8A 5P2
Phone: 613‐732‐4100
Department of Social Services
Fax: 613‐732‐4437
Child Care Division
Application For Child Care Fee Subsidy
Dear Applicant:
Thank you for your interest in Child Care Fee Subsidy. Please complete the application, sign and return it to
our office by mail, fax or email if scanned. Your application will be reviewed. You will receive a letter confirming
your placement on the Waitlist. If you do not receive a letter of confirmation please contact Child Care
Services.
Once your application is processed you will be placed on a county
wide Fee Subsidy Waitlist. When a space becomes available at one
The “Income Test” is the tool that will
of the agencies you have chosen, an Eligibility Coordinator will call
be used to assess your financial
you to screen your application. Eligibility for fee subsidy will not be
eligibility for child care for children
determined until a space is available. If you are interested in an
ages 0-12. It is based on your annual
estimation of your eligibility, please visit the County of Renfrew
net income, which is identified on line
Child Care website and use our online Fee Subsidy Estimator Tool.
236 of your Canada Revenue Notice
Note: In order to receive a fee subsidy in the County of Renfrew,
of Assessment.
the applicant and the child(ren) requiring care must reside within the
County of Renfrew boundaries.
Should you have any questions about the application or if you need assistance, please call Child Care
Services at (613-732-4100 or 1-866-561-7679) between the hours of 8:00 am and 4:00 pm, Monday to Friday
OR email Child Care Services at: childcare@countyofrenfrew.on.ca.
The Following Documents Will be Required When a Space Becomes Available:
1. Income Verification – most recent (current within the past 2 years) Canada Revenue Agency Notice of
Assessment, Universal Child Care Benefit Statement (RC 62) and Canada Child Tax Benefit Notice.
Copies of these documents can be requested by contacting Canada Revenue Agency directly at 1-800-
959-8281 (Notice of Assessment) or 1-800-387-1193 (Canada Child Tax Benefit).
2. Proof of Custody – most recent Canada Child Tax Benefit and Custody Agreement (if applicable).
3. Address Verification – such as a rent receipt, a lease, mortgage
agreement and/or a property tax assessment. In addition, one
current household bill must be submitted.
ALL APPLICANTS MUST
4. Activity Verification – such as an employment paystub and/or a
FILE INCOME TAX
school timetable.
RETURNS FOR THE
5. Special/Social Needs – (if applicable) a “Documentation of
PREVIOUS YEAR BEFORE
Child’s
Special/Social
Needs”
or
“Documentation
of
APPLYING FOR CHILD
Parent/Guardian Special Needs” completed by a qualified
CARE FEE SUBSIDY.
professional is required. The forms are available at the local Child
Care office.
6. Birth Verification – for all applicants and dependent children
such as Birth Certificates, Baptismal, Notice of Birth Registration,
etc.
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