Instructions and note
When and how to submit, what the provider's invoice should include, and a note that the monthly subsidy is forwarded to the child care provider on the employee's behalf.
VA0730h
VA Child Care Subsidy Program Benefit Payment Request Form
- Agency
- VA
- Revision
- June 2014
- Fillable fields
- 43
- Pages
- 1
- Official source
- VA form page
- Checked
- October 20, 2026
VA Form VA0730h: VA Child Care Subsidy Program Benefit Payment Request Form
VA Form VA0730h is the U.S. Department of Veterans Affairs VA Child Care Subsidy Program Benefit Payment Request Form. The instructions say employees approved to participate in the VA Child Care Subsidy Program (CCSP) must use this form to request monthly child care subsidy benefits payments.
It is a VA employee form, not a public one. The employee fills in their details, the child care provider's details and the weekly costs for one month, then signs. Section IV is for approving office use only. Requests go through the Child Care Records Management System (CCRMS).
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 VA0730h
Section I: parent or legal guardian
Name and home address of the employee, home phone, home email if applicable, work address, work phone, station number and work email if applicable.
Section II: provider and children
The provider or company's name and address, telephone and email, the children's names and ages, the month and year requested, and the full child care cost for each week of that month.
Section III: employee certification
The employee certifies that the information is true and correct and that the child care services were received for the period the request covers, then signs and dates it.
Section IV: approving office
Monthly cost, VA percentage, subsidy amount, a disapproved box with an explanation, the authorizing official's signature and date, a comment, the date paid and the invoice number.
How to fill out VA Form VA0730h
- 1
Wait until the month's care is provided
The instructions say a separate form is prepared for each month and is not submitted until child care services for the month have been provided.
- 2
Fill in Sections I and II
Enter your details, the provider's details and each child's name and age.
- 3
Enter the month and weekly costs
Item 5 is the month and year requested. Item 6 asks for the full child care cost for each week, with week ending dates, weekly total charges and a monthly total.
- 4
Sign Section III
Sign and enter the date of signature as MM/DD/YYYY. Leave Section IV for the approving office.
- 5
Submit through CCRMS on time
The instructions say to check that the CCRMS online request matches the invoices, and to submit through CCRMS not later than the second Friday of the month following the month requested.
Why fill Form VA0730h on indox
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Where it goes and when
CCRMS only
The form says benefit payment requests are submitted through the CCRMS, and "Mailed, faxed or emailed submissions will not be accepted."
Deadline
The form says requests are due not later than the second Friday of the month following the month for which a benefit payment is requested. Its example: for June, the invoice is received not later than the second Friday of July of the same year.
Late requests
The form says invoices that are not received within the required timeframe will not be paid, and exceptions to this timeframe will not be approved for any reason.
What the invoice shows
The form says the provider's invoice should include the name of the provider or company, invoice number, the provider's Federal tax identification number, a description of services and the total cost of monthly services.
Edition
The PDF footer reads VA FORM JUN 2014 0730h, matching the June 2014 revision date on VA's form page. The form prints no OMB number.
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Who uses VA Form VA0730h?
The form describes who fills in each section and who reviews it.
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Questions about Form VA0730h
Who uses VA Form VA0730h?
The instructions say employees approved to participate in the VA Child Care Subsidy Program (CCSP) use it to request monthly child care subsidy benefits payments.
When is the request due?
The form says not later than the second Friday of the month following the month for which a benefit payment is requested. For June, that is the second Friday of July of the same year.
Can I mail, fax or email the form?
No. The form says requests are submitted through the CCRMS and mailed, faxed or emailed submissions will not be accepted.
Does one form cover several months?
No. The instructions say a separate form is prepared for each month benefits are requested.
Who receives the subsidy?
The note says the monthly child care subsidy will be forwarded to the child care provider on the employee's behalf. It also says the employee is responsible for the total child care cost.
What is Section IV for?
It is marked For Approving Office Use Only and records the monthly cost, VA percentage, subsidy amount, any disapproval, the authorizing official's signature, the date paid and the invoice number.