Please complete the following form to be contacted by our CCDF staff. If you do not see your county of residence below, please return to the main page and contact the CCDF office in your region
Are you a new or current client? NewCurrent
County of Residence ---BartholomewBrownDecaturFayetteFranklinHancockHenryJohnsonRushShelbyUnionWayne
First Name Last Name
What can the CCDF staff help you with? Eligibility or Income GuidelinesOther (Please indicate your question in the space provided)
If you have a current voucher, please enter the end date. Enter any questions or concerns for staff here:
*Do you need a form? CCDF forms such as waitlist applications, appeal forms, and wage verification forms are available for download in PDF format on the main CCDF page.