Notice to Reapply
Use this form if you need to recertify (reapply) for any of these programs:
- Food Assistance (SNAP)
- Medicaid (Health First Colorado)
- Colorado Works/TANF
- Adult Financial
Notice to Reapply (La Nota Para Aplicar)
Application for Public Assistance
Colorado PEAK is the online place to apply for and manage medical, food, cash, and other public benefits.
Use this form if you prefer a paper application and are:
- Applying for benefits for the first time, or
- Adding a new benefit program
Programs include:
- Food Assistance (SNAP)
- Medicaid (Health First Colorado)
- Colorado Works/TANF
- Adult Financial
Application for Public Assistance (Solicitude de Asistencia Publica)
Change Report Form
Use this form if you need to report changes to your case. Examples include:
- Income
- Address
- Household members
- Monthly expenses
Programs include:
- Food Assistance (SNAP)
- Medicaid (Health First Colorado)
- Colorado Works/TANF
- Adult Financial
You must report required changes within the time limits for your program.
Change Report Form (Formulario de informe de cambios)
Child Care Assistance
The Child Care Assistance Program (CCAP) helps families with low incomes pay for child care for children from birth through age 12. If you qualify, CCAP pays part of the cost, and you pay the rest based on your income and family size.
Enrollment Freeze
Boulder County CCAP is currently on an enrollment freeze. This means:
- We are only accepting applications for the waitlist.
- Families already in CCAP can stay in the program if they still qualify and recertify each year.
To see if you might qualify during the freeze, fill out the Prescreening Questionnaire. If you qualify, we will add your name to the waitlist.
- Electronic Prescreening Questionnaire (Cuestionario de Preselección electrónico)
- Printable Prescreening Questionnaire (Cuestionario de Preselección para imprimir)
If your family is already enrolled, you must submit a Redetermination Form each year to stay in CCAP.
- Electronic Redetermination Form (Redetermination electrónico formulario)
- Printable Redetermination Form (Formulario de Redetermination imprimible)
