Instructions and note
How a provider invoice is uploaded into the Child Care Record Management System (CCRMS) each month benefits are requested, and a note that the monthly subsidy is forwarded to the child care provider on the parent's behalf.
VA0730b
Child Care Provider Information (For the Child Care Subsidy Program)
- Agency
- VA
- Revision
- September 2024
- Fillable fields
- 35
- Pages
- 1
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form VA0730b: Child Care Provider Information (For the Child Care Subsidy Program)
VA Form VA0730b is the U.S. Department of Veterans Affairs Child Care Provider Information form for the VA Child Care Subsidy Program. Its Privacy Act statement says the provider's Social Security or tax identification numbers are used to assure licensure and/or regulation compliance, which is necessary for determining Federal employee eligibility for child care subsidy.
The form is for VA employees in the program and their child care providers, not the general public. Part I names the parent, with the parent's Federal agency printed as Department of Veterans Affairs, and Part IV is the provider's certification and signature.
The form is one page. 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 VA0730b
Part I: parent information
The name of the parent or legal guardian with a child in the provider's care, and the Federal agency of the parent, printed as Department of Veterans Affairs.
Part II: provider information
Type of provider, child care services, provider name, address, email, telephone, tax identification or Social Security number, fax number, license number, the state that issued the license and the license expiration date.
Part III: child information
For each child: name, enrollment date, whether the child receives any other subsidy, the source and amount of that subsidy, and the total weekly fee for the child.
Part IV: provider certification
The provider certifies the information is true and correct and acknowledges that a false statement on the form is a Federal crime under United States Code 18, Section 1001. Name, title of the representative, signature in ink and date.
How VA Form VA0730b is completed
- 1
Enter the parent
Part I takes the name of the parent or legal guardian. The Federal agency is already printed as Department of Veterans Affairs.
- 2
Add the provider details
Check one type of provider and one type of child care service, then fill in the provider's contact, tax identification and license details.
- 3
List the children and attach papers
Fill in Part III for each child. The instruction says to attach a copy of the latest license and/or regulatory document and the schedule of fees.
- 4
Provider signs Part IV
The provider's representative enters the provider name and their title, signs in ink and dates it as MM/DD/YYYY.
- 5
Upload it to CCRMS
The instructions say requests for benefits should be uploaded into CCRMS by the 15th of each month, together with the provider's invoice for that month.
Why fill Form VA0730b 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 and when
Child Care Record Management System
The instructions say an invoice from the child care provider is uploaded into the Child Care Record Management System (CCRMS) each month benefits are requested.
Monthly deadline
The form says: "Request for benefits should be uploaded into CCRMS by the 15th of each month unless the date falls on a weekend and/or holiday then the submission deadline will move to the following business day."
What the invoice shows
The form says the provider's invoice should include the name and address of the provider or company, the provider's Federal tax identification number, a description of services and the total cost of monthly services.
Paperwork comments only
Comments on the burden estimate go to the VA Reports Officer at [email protected], referring to OMB Control No. 2900-0717. The form says not to send VA Form 0730b to this email address.
Edition
The SEP 2024 edition supersedes VA Form 0730b, JUL 2007-2021, which the form says will not be used. OMB Approved No. 2900-0717 expires 11/30/2027, with a respondent burden of 20 minutes.
Related forms
Who uses VA Form VA0730b?
The form names the parent, the provider and the system it goes into.
Official sources and the blank
Do it all with indox
No tool matches that search.
Questions about Form VA0730b
Who fills out VA Form VA0730b?
Part I names the VA employee parent or legal guardian, and Parts II to IV hold the child care provider's details, the children's information and the provider's signed certification.
How is the form submitted?
The instructions describe uploading into the Child Care Record Management System (CCRMS) each month benefits are requested, with the provider's invoice.
What is the monthly deadline?
The form says requests for benefits should be uploaded into CCRMS by the 15th of each month, and if that date falls on a weekend and/or holiday the deadline moves to the following business day.
What does the provider attach?
The Part III instruction asks for a copy of the latest license and/or regulatory document and the schedule of fees.
Who receives the subsidy payment?
The form says the monthly child care subsidy will be forwarded to the child care provider on the parent's behalf.
Who pays if no subsidy credit is available?
The note says the parent is responsible for the total child care cost and pays the full amount on all invoices from the provider if no VA CCSP benefit credit is available on the account.