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  • Child Care Circuit family specialists assist parents as they make informed decisions regarding their children's care. While responsibility for selection remains with the parents, counselors working together with parents help assess needs, review available options and provide child care options which are consistent with the families selected criteria.
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  • How to Obtain A Child Care Voucher If You Are Receiving Cash Assistance  (TAFDC)

    Contact you DTA worker to obtain a Child Care Referral.  You or your DTA worker should fax the referral to Child Care Circuit.

    Lawrence - 978.975.3120

    Beverly - 978.927.8083

    You will need a child care provider before emailing this.  If you need assistance in finding a provider, visit our website www.childcarecircuit.org and select the parent screen.

    Once you have chosen the provider and faxed the referral to Child Care Circuit please complete the information below.

    Your Case Manager at Child Care Circuit will contact you by email or phone to give you a time to come in and sign voucher.  The voucher will not be effective until after the voucher is signed.

     

    Please complete the following information before submitting this form:

    USE THE TAB KEY TO GO BETWEEN ENTRIES.

    DO NOT HIT RETURN UNTIL ALL INFORMATION IS FILLED OUT.
     

    Name 

    Email Address 

    Phone Number

    Child     Program (Please Include Street Address)

    Child     Program (Please Include Street Address) 

    Child     Program  (Please Include Street Address)

    When would you like your child care to start? 

    Do you need transportation?  Yes  No

    If Yes  One Way      Two Way 

    Reason for needing transportation 

    What city were you born in? 

    What city was your children born? 

    What city are you currently residing in? 

    If working, what type of employment are you currently in? 

    Any additional comments or questions. 

     


    massachusetts child care

    E-Mail: info@childcarecircuit.org
    Beverly Office: 180 Cabot St., Beverly, MA 01915
    Phone: (800) 660-2868 · Fax: (978) 927-8083
    Lawrence Office: 190 Hampshire St., Lawrence, MA 01840
    Phone: (877) 823-2273 Fax: (978) 975-3120

    Office Hours: Monday 9 AM - 7 PM,  Tuesday - Friday 9 AM - 5 PM

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