Children's Home Society of California | Family Fees Payment Form

Family Fees Payment Form

Family fees are expected to be waived from July 1, 2021-September 30, 2023. Families are not required to submit family fees or repayment plan payments during this time (per the California Department of Social Services [CDSS] Child Care Bulletin 21-01 and the CDSS Guidance on the Expiration of COVID-19 Policies on June 30, 2022). Family fees and repayment plans will resume on October 1, 2023.

Instructions:

Please fill out the form completely. Fields marked with * are required. To read our frequently asked questions (FAQs), click here.

Payment Information:

Please indicate how you would like your payment applied.

Payment types:
Monthly Family Fee Amount is the monthly fee based on income and family size.

Repayment plan is an agreement requested by the parent used to repay missed or late payments.

Parents can have both a monthly family fee amount and a repayment plan. The sum of both fields must equal the total payment amount. If a payment type does not apply to your situation, please enter a 0 in the corresponding field.

This is the total amount of your payment in this transaction. Payments made after 5:00 p.m. will not be processed until the following business day.

I have read and agree to the Terms of Service

In English En Español

Apply for Child Care Assistance

Child Care Referrals

CareConnect

Contact Us

Family Fees Payment Form

Payment Information:

Sign up for CHS updates

Areas of Interest

Sign up for CHS updates



Areas of Interest Updates for Families For Child Care Providers How to Donate to CHS Volunteer Options Other