CP&P 14-230
(rev. 5/2010)
[Enter date]
RE: Post Adoption Child Care
Dear [Enter name of Adoptive Parent(s)]:
Prior to the adoption you were informed of the eligibility requirements to receive Post Adoption Child
Care services and received a brochure explaining the eligibility requirements. If you believe that you are
eligible for this service, the enclosed application must be submitted to the Child Care Resource and
Referral Agency (CCR&R) for your county.
Name of CCR&R:
[Enter name of CCR&R]
Address:
[Enter street address]
[Enter city/town, state, zip code]
Telephone Number:
[Enter telephone number and extension]
THE COMPLETED APPLICATION MUST BE RETURNED TO THE CCR&R AGENCY
WITHIN 90 DAYS OF THE ADOPTION FINALIZATION OR ELIGIBILITY WILL BE
FORFEITED.
If there are any questions, please feel free to contact me at [Enter telephone number with extension].
Sincerely,
Signature of Worker
[Print name of Worker]
Adoption Worker