Parent Document Submission

This document submission portal is used to submit necessary paperwork for your childcare case.

IMPORTANT INFORMATION:

Only PDF formatted documents will be accepted. No Exceptions!
Any pictures or Screenshots of documents (JPG file) will not be accepted! No Exceptions!
If you are a childcare provider submitting documents for a parent, please complete a separate submission for each parent
Childcare Certificates will not be accepted! No exceptions!

If you need to submit forms for a provider, please submit here.

You can still submit documents via mail, fax or drop box

Please Visit our CCAP Express Page here.

If you have any questions regarding your CCAP case, please email us at CCAPQuestions@actforchildren.org

Submission Date

mm/dd/yyyy

Parent First Name

Parent Last Name

Best Phone Number

Helpful Tip: Please add best number to reach customer, if needed.

Child Care Case Number

Do not use Social Security Number or (-) between numbers

Example:12345678987654

Parent Date of Birth

mm/dd/yyyy

Form Submitted

Helpful Tip: Please write the Childcare Case Number on document before submitting. This ensures documents are placed with the appropriate case.

Email Address

Please make sure your email address is correct!

Form Submission

Form Submission

Drop your files here

Send me a copy of my responses

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.