Hawaii pays for child care when a parent or adult caretaker cannot care for their children because of a disability, and the Benefit, Employment and Support Services Division uses this report to document it. The examiner gives the diagnosis and history, whether the disability is permanent, whether the applicant can cope with caring for the children, a projected date to resume care and a prognosis.
An examining physician, psychologist or psychiatrist completes Section III and signs Section IV. The applicant completes Section I, listing the children, and signs the Section II consent, which also lets the Child Care Payment Worker discuss the report with the examiner.
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Parent/Adult Child Caretaker Disability Report
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Twelve months at most. The form states it is valid only for a period of twelve months and that a new report is required for at least each twelve-month eligibility period. It also notes that child care services are subject to the availability of funds.
An examining physician, psychologist or psychiatrist. They complete Section III on the diagnosis, permanence of the disability, ability to care for the children, projected date to resume care and prognosis, then sign and date Section IV with their contact details.