Written by a parent, not a doctor. Nothing here is medical advice.

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Get ready to apply

State of Alaska Department of Health

Alaska IN! and Child Care Assistance

What you get

Childcare assistance and inclusive care options to help you manage your child's needs. Ask whether requests are open.

Who starts it
You, with a document from your doctor
How it’s sent
PDF form, sent the way they ask
Your time
About 30 minutes, plus waiting for the document
Last checked
Aug 27, 2026

  1. Ask your doctor for the documentStart here. This is the part that takes the longest.

    State of Alaska Department of Health needs a signed confirmation of the diagnosis from your doctor. Copy this message, or say it in person at the next visit.

    Hi [doctor’s name],

We’d like to apply to State of Alaska Department of Health’s Alaska IN! and Child Care Assistance. Childcare assistance and inclusive care options to help us manage our child's needs. We are checking whether they are taking requests.

They need a signed confirmation of the diagnosis from you. Their form and instructions are here: https://health.alaska.gov/en/services/child-care-assistance/

Could you do that when you have a chance? I’ll bring the printed form to our next visit, or I can email it. Thank you for everything you do for us.

[your name] · [phone]
    Copying is the only thing this page does with your text. Nothing is saved.

  2. Fill in their formPrint it, or fill it in on screen if the PDF allows.

    Open the application PDF ↗ Checked Aug 27, 2026

    What the form asks for

    CC08 · all ten application pages
    Full names, maiden names and aliases for Parent 1 and Parent 2Marital StatusHome and Mailing AddressesI consider myself homelessHome, Cell and Work PhoneEmail for broadcast notificationsFamily Primary LanguageActive duty or Reserve/National Guard statusReceiving housing voucher or cashReceiving other federal cash incomeFamily assets total more than $1,000,000All family members: name, relationship, DOB, optional SSN, gender, citizenship, ethnicity, race, special-needs diagnosisEach parent’s employment, employer, schedule, wages, tips, bonuses and commissionsUnearned income for all family members by source and amountSelf-employment activity, business license, income and deductionsEducation/training program, schedule, financial aid, tuition, fees and booksChild-support and medical/dental payment deductionsChild custody schedule and documentationChildren needing care, provider, schedule and eligible-activity hoursChild care provider name and contact informationAdditional informationStatement of Truth, Rights and Responsibilities signatureAuthorization for Release of Information signature
    CC48 · both application pages
    Printed Full Name of Family’s Responsible PartyHome and Mailing AddressHome, work and cell telephone; emailEach child’s full name and date of birthChild care provider name, physical/mailing address and phoneI understand I must be eligible for Child Care Assistance and Alaska Inclusive Child CareSignature and date of Family’s Responsible PartyRelease of Information authorizationHealth care professional name, addresses and phoneSchool/agency name, contact, addresses and phone

    Have ready

    • Unexpired government photo ID for each parent.
    • Age and citizenship/immigration verification for each child needing care.
    • Two full months of pay stubs and applicable earned/unearned income verification.
    • Business license plus federal return/schedules or three months of worksheets and receipts, if self-employed.
    • School schedule, financial-aid summary, tuition/fees/books verification, if in education or training.
    • Current custody order, legal statement, or other-parent written statement, if applicable.

  3. Send it the way they ask

    • Send the signed application and verification to the regional office listed for the family’s community.

After you send

Complete the required parent interview and monitor time-sensitive written notices. If you have not heard back in two weeks, write and ask whether it arrived.

Full record, as published