You must submit the following documents, along with your application, in order to register:

• Copies of your two most recent pay stubs, dated within 30 days of registration
• If you do not have your pay stubs, you must submit a letter from your employer listing your Social Security number, hourly pay rate, date of hire and weekly hours.
• If you are on short-term disability or Workers’ Compensation, a copy of your last pay stub must accompany your disability stub. If the pay stub is not available, a letter from your employer verifying your employment, Social Security number, hourly pay rate, date of hire, weekly work hours, and expected date of return must accompany your disability stub.
• A copy of your 1199SEIU Health Benefits ID Card, listing your dependents between birth and 17 years of age. If your children are not listed on the 1199SEIU Health Benefits ID Card, other acceptable proof of legal dependency is required, such as
  • Adoption papers listing you as guardian
  • Birth certificate listing you as parent
  • A copy of last year’s signed federal tax return listing your adopted and/or biological child(ren)

  If your bargaining unit does not contribute to the 1199SEIU Benefit and Pension Funds, you may submit your participating health insurance ID card, provided that your dependents are listed on it. If not, you must provide proof of legal dependency as listed above.

• A copy of the Social Security card of each child for whom you are applying. The CCF cannot register any child without a Social Security number/card, including newborn children who do not have one. There are no exceptions to this rule.

If you do not have a copy of a child’s Social Security card, you must provide the CCF with either of the following:

• An original letter from the Social Security office, showing the child’s Social Security number; or
• A copy of last year’s signed federal tax return, showing the child’s Social Security number.

If you are missing any of the above documents, the CCF cannot register your child(ren).

You must submit the following documents, along with your application, in order to register:

• Copies of your two most recent pay stubs, dated within 30 days of registration.
• If you do not have your pay stub, you must submit a letter from your employer listing your Social Security number, hourly pay rate, date of hire and weekly work hours.
• If you are on short-term disability or Workers’ Compensation, a copy of your last pay stub must accompany your disability stub. If the pay stub is not available, a letter from your employer verifying your employment, Social Security number, hourly pay rate, date of hire, weekly work hours and expected date of return must accompany your disability stub.
• A copy of your 1199SEIU Health Benefits ID Card listing dependent children.
• If your children are not listed on the 1199SEIU Health Benefits ID Card, other acceptable proof of legal dependency is required, such as:
  • Adoption papers listing you as guardian
  • Birth certificate listing you as parent; or
  • A copy of last year’s signed federal tax return listing your adopted and/or biological child(ren).

If your bargaining unit does not contribute to the 1199SEIU Benefit and Pension Funds, you may submit your participating health insurance ID card, provided that your dependents are listed on it. If not, you must provide proof of legal dependency as listed above.
A copy of the Social Security card(s) for child(ren) who were not registered for a CCF program between 2000 and 2015. The CCF cannot register any child without a Social Security number/card, including newborn children who do not have one. There are no exceptions to this rule.

If you do not have a copy of a child’s Social Security card, you must provide the CCF with either of the following:

• An original letter from the Social Security office, showing the child’s Social Security number; or
• A copy of last year’s signed federal tax return, showing the child’s Social Security number.

If you are missing any of the above documents, the CCF cannot register your child(ren).