Requirements for Printing ELCD-9600 Form
Overview
The EESD-9600 Application can be run from the student’s Early Childhood Development page. The information on the Confidential Application for Child Development Services and Certification of Eligibility application is populated based on student data in Aeries and is based on the eldest sibling receiving Early Childhood Development services, however the application can be generated from any siblings Early Childhood Development form. For families with more than 4 students an additional written application will be needed. To generate a family's EESD-9600 (newly renamed ELCD-9600) application, click the Print icon located at the bottom of the page.
Requirements for Printing ELCD-9600 Form ↑
Additional student data is required in order to generate the ELCD-9600 application which includes:
- A Family Key in the student's demographic page which is identical for all siblings to be printed on the ELCD-9600 application.
- In the student’s Free and Reduced form, the student’s Family Size (# of Household FRE.NO) and family Monthly Income (FRE.MO) must be populated.
- A linked Parent/Guardian in the student’s demographic record, or if linking is not being used, a Parent/Guardian designated as the Primary Contact (CON.PC), the Ed Rights Holder (CON.ERH), or Lives With (CON.LW) in the student’s Contacts page.
Printing the EESD-9600 Form ↑
The student’s Family Eligibility Status and Reason for Needing Services printed on the EESD-9600 form is based on data entered on the student’s Early Childhood Development form, data entered in the student's Free and Reduced Meals Form such as TANF number, family size and monthly income information, and Special Ed information if applicable. The Parent/Guardian Military status is based on Military Information provided in the student’s Contacts page.
Pre-Populated Fields ↑
The Family Identification/Case No value is prepopulated with the Student's Family key number (STU.FK). The Initial Subsidized Service Date will be populated from the Family Start Date field on Early Childhood Development page ECD.FSD. If the recertification box is selected on the Early Childhood Development page, the form will have 'Recertification' pre-selected when printed.
The Income Eligible field on the application will display a checkmark if the student meets the criteria based on the current Income Eligibility Guidelines and will only be pre-populated for households up to 12. For households greater than 12, manual entry must be used.
Section 1. Family Identification information will populate from the Contacts table where Primary Contact (CON.PC), the Ed Rights Holder (CON.ERH), or Lives With (CON.LW) have value = Y.
The Family Eligiblity Status checkmarks will pre-populate for the following:
- Protective Services - ECD.RS = B
- Income Eligible - FRE table has Family Size (# of Household FRE.NO) and family Monthly Income (FRE.MO) populated.
- Homeless - Early Childhood Development Reason for Services - H-Seeking Permanent Housing. (ECD.RS = H)
- Programs for the Severely Handicapped - Special Ed disability CSE.DI
Reason for Needing Services:
- Working - ECD.RS = D
- Child referred for protective services because of neglect, abuse, exploitation, or At-Risk thereof - ECD.RS = A
- Parent/caretaker - ECD.RS = B
- Seeking permanent housing
Example:
