Child Care Financial Assistance Eligibility Calculator

Fill out this form to find out which types of financial assistance you qualify for.

Note: You must fill out a separate form for each child.

Child’s Date of Birth:

Family Size
Family Size includes the biological or adoptive parent(s) and child(ren) under age 18 that live in the same household. When the child(ren) is/are in the foster program, family size includes related child(ren) only.
Gross Estimated Family Total Income
Before Taxes
Income Type
$Enter all income earned in the month/year from all parents before anything is taken out for taxes or other deductions. Some common forms of income are wages (including self-employment), bonuses, commission and/or tips, child support, cash aid, workers compensation/disability insurance (SSA only), unemployment, and spousal support.
Monthly Annual
If you have received CalWORKs cash assistance in the last 2 years, please contact our office at (415) 343-3300 to inquire if you are eligible for immediate child care financial assistance.

Do you live in San Francisco?
Yes    No

Have you received financial assistance for care for this child in the past?
Yes    No