To verify and determine eligibility for subsidized child care services, you must bring the following documentation to your certification appointment:

ELIGIBILITY VERIFICATION – Documentation must be provided for 1 or more of these categories:

Child Protective Services (CPS) or At-Risk Referral Letter
Self-Declaration of Homelessness or Homeless Referral Letter
Current Aid Recipient Verification (Example: Notice of Action or Passport for Services)
Guardian: Documentation of any income received for the child
Income Verification
Authorization to Release Employment Information (if applicable)
Income documentation from all sources
- Predictable Income: Gross income for the month preceding
- Unpredictable Income: Gross income for the preceding 3 to 12 months
- If employment is seasonal, agricultural, includes bonuses or commission provide past 12 consecutive months of income

FAMILY SIZE VERIFICATION – At least 1 of the following documents must be provided for ALL children counted in the family size:

RESIDENCY VERIFICATION – Proof that you live in the State of California, Exeter Unified School District.

OTHER DOCUMENTATION – The following documents are also required:

Child’s immunization record for each child being enrolled
Infant & Family Service Plan (IFSP) or Individual Education Plan (IEP) (If applicable)
Court orders if they affect your child care days/hours (If applicable)

NOTE: We will not schedule you for an appointment until the application is COMPLETE.

IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT PRESCHOOL OFFICE AT (559) 592-2141 EXT 3024

2022-2023 EUSD Preschool Eligibility Form and Application