Please read all instructions and guidance on the Temporary Assistance for Stabilization of Child Care-4 (TASCC-4) Grant page before completing this form.
A copy of the facility’s W-9 is required for processing of this application. Additionally, if you elect to receive your grant via direct deposit, you must complete and return a copy of the ACH form. Both of these forms are available for download on the CCWS Grant page.
Remember to download, complete, and return the ACH Form to TCR to receive Direct Deposits.
Read and acknowledge the terms of receiving this grant benefit. Sign and date the application prior to submission.
By submitting this Application and/or accepting funds distributed pursuant to this Application, the undersigned, its employees, agents, subcontractors, and assigns certifies and agrees:
A copy of your completed application will be emailed to the email address provided above for your records. Please be sure to check your inbox and (if necessary) spam folder for this important email.