Section I, items 1 to 10: contact details
Name, Social Security number, job series and grade, organizational code, work address, work email, work telephone and extension, home address, home email and home telephone.
VA0730a
Child Care Subsidy Application Form
- Agency
- VA
- Revision
- August 2012
- Fillable fields
- 89
- Pages
- 2
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form VA0730a: Child Care Subsidy Application Form
VA Form VA0730a is the U.S. Department of Veterans Affairs Child Care Subsidy Application Form. Its Privacy Act statement says Public Law 107-67 confers regulatory authority on VA for agency use of appropriated funds for child care costs for lower income Federal employees, and that the information is used to determine eligibility for child care subsidy.
It is a VA employee form. The parent or legal guardian gives their job series and grade and a VA organizational code, and the form refers to the submitting HR office and the local Human Resources (HR) office.
The form is two pages: Section I for the parent or legal guardian, Section II for up to three children, and Section III for the signature and certification. You can fill out the PDF free in your browser on this page and download the result without an account.
What's on VA Form VA0730a
Section I, items 11 to 16: family and income
Category of parent, whether the spouse is a Federal employee, the spouse's name, grade and employing agency, and total family income as reported on the adjusted gross income line of the most recent IRS Form 1040 or 1040A.
Section II: child information
For each child: name, date of birth, child care provider, weekly child care cost, date of enrollment, type of application, last day with a previous provider, any state, county or local subsidy with its source and amount, the provider's address and phone, and the type of care.
Type of application and type of care
Application types are new family, annual recertification, adding or changing family information, reapplication and changing provider information. Care types are center-based, VA-based, family home-based, school-based and other.
Section III: signature and certification
A certification that the information is true and complete, an agreement to inform the local HR office of changes within 10 days, a statement that awards are made on a first-come, first-served basis, and the signature and date.
How to fill out VA Form VA0730a
- 1
Complete Section I
Enter your details and pick your organizational code from the list on page 1. For Item 16, the form asks for the adjusted gross income from your most recent IRS Form 1040 or 1040A.
- 2
Add each child
Fill in one Section II block per child. The form has room for three children and says to attach the information for any more.
- 3
Attach what the form asks for
If another state, county or local subsidy is received, the form asks for a copy of the award letter. When changing provider information, it asks for the license, schedule of fees and VA Form 0730b.
- 4
Sign and date Section III
Sign and enter the date of signature as MM/DD/YYYY. If you answered yes to Item 12, the certification also covers your spouse not having applied for a subsidy from their Federal agency.
- 5
Submit through your HR office
The form refers to the submitting HR office and says applications that are not fully completed will not be processed and will be returned through it.
Why fill Form VA0730a on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the VA, not a copy someone retyped
- Works on a phone, tablet or computer
Where it goes
Through the HR office
The form names the submitting HR office and the local Human Resources (HR) office. It prints no mailing address for the application itself.
Changes after you apply
The certification says the signer agrees to inform the local HR office within 10 days if any of the information changes.
Paperwork comments only
Comments on the burden estimate go to the VA Clearance Officer (005R1B), 810 Vermont Avenue, NW, Washington, DC 20420. The form says not to send requests for benefits to this address.
Edition
The AUG 2012 edition supersedes VA Form 0730a dated JUN 2010, which the form says may not be used. It carries OMB Number 2900-0717 and a respondent burden of 20 minutes.
Related forms
Who uses VA Form VA0730a?
The form and its notes describe who fills it in and who handles it.
Official sources and the blank
Do it all with indox
No tool matches that search.
Questions about Form VA0730a
Who uses VA Form VA0730a?
VA employees applying for the VA child care subsidy. The Privacy Act statement describes appropriated funds for child care costs for lower income Federal employees.
Which income figure does Item 16 ask for?
Total family income as reported on the adjusted gross income line of the most recent IRS Form 1040 or 1040A.
What happens to an incomplete application?
The form says applications that are not fully completed or do not contain the information listed will not be processed and will be returned to the applicant through the submitting HR office.
Can both parents get a subsidy from their agencies?
The form says that when more than one parent works for the Federal Government, subsidies cannot be awarded for the child or children by more than one Federal agency.
What if I have more than three children in care?
Section II says to attach the pertinent information for any children beyond three to the form.
How are subsidy awards made?
The certification in Section III says awards for child care subsidy are made on a first-come, first-served basis.
Which other VA form does the application mention?
When changing provider information, the form says to attach the license, schedule of fees and VA Form 0730b.