Emergency Child Care for COVID-19 Essential Workers

In response to the COVID-19 Pandemic, the State of Texas has developed a tool to help essential workers find emergency child care options for their children.

If none of these options work for you and your family, please complete this form and one of our representatives will contact you to provide assistance.

First Name

Last Name

Mobile or Home Phone?

Mobile
Home
None

Phone

For example: 5551239876

Email

Please provide the number and ages of children you need childcare for.

Number of children:

Ages of children:

Example: 2, 5, 10

What days of the week do you need childcare? (Select all that apply)

SundayMondayTuesdayWednesdayThursdayFridaySaturday

What times of the day do you need childcare? (Select all that apply)

6am-12pm12pm-6pm6pm-12am 12am-6amOther (fill in below)

List other times of the day you need childcare:

In what ZIP code do you prefer childcare?

Industry

Health CareFirst ResponderGrocery & RetailMail, Distribution & ShippingEnergy, Sanitation & UtilitiesTransportationFood Production & ManufacturingTelecommunicationsBanking & Financial ServicesNews MediaOther GovernmentConstructionChildcare ServicesSecurity & DefenseBasic Needs Provider for Vulnerable Populations (food, shelter, and social services)

Name of Employer

What is preventing you from finding care via https://frontlinechildcare.texas.gov ? (click all that apply)

CostOperating HoursSpecial NeedLocationOther

Other reason:

Contact Information