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Family Forms

Helpful Information

Income Guidelines Sheet
For Parents Applying for Childcare Guide
Required Documents Guide
Full HIPPA Form For Reference
Forms for Applying for Childcare
Full Childcare Application
Childcare Provider Choice Form
Employment Verification Form (EVF)
Educational Class Training Schedule Verification Form
HIPPA Require Signature Form
Other Forms
Homeless Verification Form
Self Employment Form
Medical Disability Forms
TANF Forms
TANF Verification Form
Former TANF Self Certification Form
Self Declaration TANF Form
Foster Parent/Family Forms
Attestation Region 1 OCY Request
Attestation Region OCY Form
Attestation Region 1 OCY Cont'd Eligibility
Attestation Region 2 OCY Request
Attestation Region 2 OCY Form
Attestation Region 2 OCY Cont'd Eligibility

Please check back often as we update this page.

If you have a service that you feel should be included that is not listed please contact us.

Contact us

(814) 836-5898

info@nwirelrc.org

Links

Region 1

Region 2

County Assistance

Northwest Institute of Research
3823 West 12th St.
Erie, PA  16505
Hours of Operation 8:30 AM - 5:00 PM M-F

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