Office Use Only – Service ID number

Community Support Programme

Application forFamily Day Care
Set-Up Assistanceand Operational Support Funding

These payments are targeted at services who are sole Family Day Care (FDC) service providers operating in the most disadvantaged communities and in regional and remote locations. Before submitting an application, please usethe tools available on the department’s website at: assess your service’s potential eligibility. Services are required to meet all eligibility criteria.

PART A – Legal Organisation and Service details(all applicants to complete)

  1. Name of your service

  1. Physical address of the service

  1. Name of Director/Coordinator

  1. Contact phone number(s)

  1. Mobile phone number(s)

Applicant/Operator (Legal Entity)

  1. Name of Applicant/Operator

  1. Applicant/Operator postal address

  1. Name of manager/contact person

  1. Contact phone number(s)

  1. Mobile phone number(s)

  1. Email address

  1. CCMS – CCB approval ID (if available)

  1. Australian Business Number (ABN)

  1. Does your FDC service operate any other type of child care/family services from the same location? No Yes If Yes. What type of service(s)

Long Day Care

Outside School Hours Care

Occasional Care

In Home Care

Other, please specify

Bank account details

  1. Account number

BSB (6 digit number)
Account name

PART B– Eligibility(all applicants to complete)

Your answers to the questions in this section will assist in determining your FDC service’s eligibility for Operational Support and/or Set-up Assistance funding.

  1. Is your FDC service approved to receive the Child Care Benefit (CCB) on behalf of families?

No Have NOT applied for CCB approval

No Have applied for CCB approval

Yes Please go to Question 18

  1. Is your FDC service approved with the relevant state or territory Regulatory Authority?

NoWhen do you expect to receive your Service Approval?

YesPlease attach copy of Service Approval.

PLEASE NOTE: You must provide all of the necessary documentation (including the Provider/Service Approval from the state or territory Regulatory Authority) for assessment within 30 days of the application being received by the department; otherwise the application will be refused as ‘Incomplete’. A new application must then be submitted for the FDC service to be considered for funding in the future.

PART C – Set Up Assistance (onlySet Up Assistance applicants to complete)

  1. Is your service not-for-profit?

Not for profit means all income received from the provision of child care services, including all funding from the Australian Government, is expended in the provision of child care.

No > If ‘No’, does the applicant/operator operate 10 or more services?No Yes

Yes

  1. Is your FDC service taking over from an existing FDC service?No Yes

  1. Has your FDC service ‘split’ from an existing service?No Yes

  1. Is your FDC service relocating an existing service?No Yes

  1. Is your FDC service (or will it be) supported by any other child care service, whether financially or through shared resources? No Yes

PART D – Unmet Demand(all applicants to complete)

  1. Please attach documentation that demonstrates that there is an unmet demand for child care in the areas in which your service proposes to operate. The information you provide could include:
  • A demonstrated understanding of who and where the child care services are that already service the area;
  • Information from local child care-related organisations that may have an understanding of unmet demand;
  • Waiting lists for your service or other existing child care services;
  • Letters from relevant parties indicating a shortage of Family Day Care in the area; and
  • Demographic data that demonstrates demand in the area is increasing beyond the capacity or has already increased beyond the capacity of existing child care services to service.

PART E – Applicant declaration(all applicants to complete)

The applicant acknowledges that:

  1. it is a requirement to provide accurate information to the department and that the giving of false or misleading information is a serious offence
  2. the department is authorised to verify any information provided in this application
  3. eligibility for CSP Funding is conditional on compliance with the following:
  4. A New Tax System (Family Assistance)(Administration) Act 1999, A New Tax System (Family Assistance) Act 1999, Family Assistance law, and related disallowable instruments as relevant to the Funding Recipient;
  5. State/Territory and local government laws, regulations and licensing requirements;
  6. the relevant CSP Funding Agreement and CSP Guidelines as issued by the Department
  7. any other documents as reasonably requested by the Department
  8. participation in and co-operation with compliance visits as requested by the Department
  9. The applicant declares that:
  10. the information given in this application is complete and correct
  11. the signatory or signatories below are authorised to act on behalf of the applicant and complete this form

Returning the application

Applications should be emailed as an attachment to the Australian Government Department of Education and Training office in your State or Territory as listed below.

New South Wales and Australian Capital Territory /
Victoria /
Queensland /
Western Australia /
South Australia /
Tasmania /
Northern Territory /

The CSP Guidelines and CSP Funding Agreement can be found at the Department of Education and Training’s website at: