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DOL CCSP Applications

OPM Form 1644

DOL CCSP Monthly Invoice




DOL Frequently Asked Questions




FFA has put together a list of Frequently Asked Questions (FAQs) to help answer questions that U.S. Department of Labor (DOL) employees may have about the DOL CCSP. The questions are grouped in the categories below:


Applying For an AWARD From The DOL CCSP


Q: How do I apply for an award from the DOL CCSP?

A: Complete an application for the DOL CCSP. DOL employees may obtain an application from the DOL Labornet (go to Worklife Program, then click on Child Care Subsidy Program) intranet, or you may download the application from FFA's website by following this link, DOL CCSP Application. Please make sure that you put the Department of Labor (DOL) as your Federal Agency on line 2.


In addition to submitting a completed application, you must also submit:

  1. A copy of your most recent signed federal tax return;
  2. A copy of the pay statements for the two most recent pay periods for each parent or guardian;
  3. A copy of your most recent SF-50, Notification of Personnel Action;
  4. A completed Form OPM 1644 for each of your childcare providers;
  5. A copy of your childcare provider's current license or statement of compliance with state and/or local child care regulations.
  6. A completed Form W-9 from your child care provider.


Q: When can a new employee apply for DOL CCSP?

A: Immediately, upon joining DOL, as long as they meet the eligibility criteria.


Q: Where should I send my application to be processed?

A: If the application is mailed, it should be mailed to the following address:

First Financial Associates
7079 Hayden Quarry RD
Lithonia, Georgia 30038

Determining Eligibility For The DOL CCSP


Q: What factors will FFA consider to determine if an employee is eligible to receive an award?

A: FFA will follow the guidelines established by the DOL to determine which employees who apply for an award meet all of the eligibility requirements. The eligibility requirements are:

  1. You must be a DOL employee.
  2. You must be a full-time or part-time permanent employee.
  3. Have a child enrolled in, or will be enrolled in, a licensed childcare facility, or with a licensed childcare provider (licensed and/or regulated by the State and/or local authorities where the service is provided.
  4. Your child must be a member of a household maintained by you and have the following relationship to you: a) a biological child who lives with you; b) an adopted child; c) a stepchild; d) a foster child; e) a child for whom a judicial determination of support has been obtained; or f) a child who you are the parent or legal guardian of and to whose support you make regular and substantial contributions.
  5. Your child must be under age 13, or if disabled, under age 18.
  6. Have a total family income (TFI) that does not exceed $79,999 per year. TFI is determined by looking at the adjusted gross income (AGI), for yourself and your spouse, as reported on the most recent IRS Form1040 or Form 1040A.


Q: Once I have been determined eligible to receive an award, do I have to submit a new application each year?

A: No. However, you will need to re-certify your eligibility no later than May 1st of each year. If you are deemed eligible to receive the award, you are required to submit copies of the following: your most recent federal income tax return, two most recent pay statements, and a current copy of your Childcare Provider�s license.


Q: Will I be notified that I am eligible to receive an award?

A: Yes, FFA will mail award letters to all employees determined to be eligible to receive an award. In addition, FFA will notify all employees who were determined not to be eligible to receive an award, and provide the reason(s) for such determination.


Q: What will be the amount of the award?

A: The amount of your award will be based upon the employee�s Total Family Income (TFI). TFI will be determined by the adjusted gross income as indicated on the employee�s and their spouse's recently filed IRS Form 1040 or 1040A. The award will be a percentage of all eligible child care costs, as shown on the table below:





Less than $40,580



$40,581 - $49,999



$50,000 - $59,999



$60,000 - $69,999



$70,000 - $79,999




Requirements After Receiving an Award


Q: Once I receive an award letter, what should I do next?

A: You must fully complete, sign, and date the Award Acceptance Agreement included with your award letter and return it to FFA


Q: How do I notify FFA of the amount incurred for childcare charges for each months?

A: You must send FFA a DOL CCSP Monthly Invoice which shows the total charges incurred for services rendered for childcare services. The charges should be stated as weekly totals, and the weekly totals should be added to get the total for each month. Each week ends on a Friday. Most months will have 4 weeks. If the Friday of a week has a date in the next month, then that week should not go on the current month�s invoice, it should go on the next month�s invoice. You and your Childcare Provider must sign the invoice for each month. If you have more than one (1) Childcare Provider, you must submit a separate DOL CCSP Monthly Invoice for each Childcare Provider.


Q: How can I get a copy of the DOL CCSP Monthly Invoice and who will send it to my provider?

A: You may obtain it on our website by following this link: DOL CCSP Monthly Invoice. The DOL CCSP Monthly Invoice form is a fillable form. You may complete it online using your keyboard, then print it, sign it and have your childcare provider sign it. Also, when you input the weekly charges for each week, the form will automatically calculate the monthly total.


Q: Is there a timeframe in which my provider must file invoices for services provided?

A: Yes, monthly invoices must be submitted to FFA no later than 60 days after the childcare services are rendered.


Q: If I change providers when do I notify FFA, and what documents should be submitted?

A: FFA must be notified immediately. We must have a completed Form OPM 1644 for the new childcare provider, and a copy of the provider�s current license or a statement of compliance with state and/or local child care regulations. FFA will not be able to process your monthly invoice without these items.


Q: If I change or transfer agency within DOL, should I notify FFA?

A: Yes, please notify FFA immediately, and also indicate the agency change on your DOL CCSP Monthly Invoice. For example, if you transfer from OASAM to MSHA, OSHA or any other agency within DOL, you should notify FFA, and put the correct agency on the DOL CCSP Monthly Invoice form.



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