IF THESE FORM(S) ARE NECESSARY, THEY MUST BE COMPLETELY FILLED OUT, SIGNED AND DATED.

Pre-K Acknowledgement Letter (This form should be completed and submitted with all applications)

Statement of No Income (This form must be completed by any adult household members who are claiming zero income of any kind.  Examples include:  Unemployed, Stay at-home parent or guardian, Retired without a pension, or Student)

Declaration of Irregular Employment (This form must be completed by any household members who are employed intermittently, self-employed, or who, for whatever reason, do not have tax forms, W-2 forms, check stubs, or applicable Department of Children and Family Services printouts to verify their income. Examples include: those adults who have seasonal employment and/or receive cash payments)

Attestation Letter for Other Adults Living in the Household (This must must be completed by the adult(s) who provide housing or live in the house but do not contribute income to the child's parent(s) or guardian (s).  

© 2016 by Livingston Parish Early Childhood Community Network.