• Special Accommodations Grant (SAG)

    September 2025-August 2026

  • The Agency of Human Services, Department for Children and Families, Child Development Division (referred to as the “State”) invites Vermont Regulated Specialized Child Care Programs to apply for funds to support the safe and successful inclusion of one or more children in their program. These funds are designed to support the safe and successful inclusion, access, and participation of one or more children with identified needs in your group or classroom. The grant funds are intended to cover any gap left after all entitled or eligible services are provided for the child(ren).

    You have the flexibility to apply for grant funds to purchase the following:

    1. Specialized materials and/or supplies (See RFGA for details)
    2. Consultation, training, or coaching for your child care staff tailored to support the child/children's needs
    3. Inclusion Support Staff to provide additional staffing. If your application is approved, your program may receive funding for an additional staff person to support the safe and successful inclusion of one or more children. This Inclusion Support Staff member is not permitted to count toward licensing ratios. Their role is specifically to provide individualized assistance that goes above and beyond your required staffing.

    Specialized Child Care Programs (SCC) must be in compliance with their    SCC Agreement and in good standing with Vermont child care licensing regulations. If you need more information on the status of your Specialized Child Care Agreement, please contact your Regional Specialized Child Care Coordinator.  SCC programs may apply on behalf of one or more children with identified needs who require additional support to access or remain enrolled in their program.  Child care programs must complete the SAG application in partnership with the child’s team, which includes the child’s parent/caregiver and the professionals working together to support the child’s successful inclusion within the program.

    Step 1: Review and Prepare Your Application

    ✔️ Review the RFGA and Frequently Asked Questions

    • Read the Request for Grant Applications (RFGA for SAG) for details about timelines, eligibility, required documentation, and grant specifications.

    ✔️ Meet with the Parent or Legal Guardian

    • Review the CIS SAG Parent/Guardian Consent Form together.
    • Both the provider and the parent/legal guardian must sign the form.
    • List the names of professionals on the child’s support team who are contributing to the application.
    • Upload the signed form with your application.

    ✔️ Request the Service/Health Provider Letter of Support

    • Email the SAG Service/Health Provider Letter of Support Form to a provider who can speak to the child’s needs.
    • Once submitted by the provider, the form will be automatically uploaded into JotForm and linked to your application.

    Step 2: Required Attachments

    ✔️ CIS SAG Parent/Guardian Consent Form

    • Upload one signed form for each child named in the application.

    ✔️ SAG Service/Health Provider Letter of Support Form 

    • This form will be submitted directly by the provider via JotForm.
    • Only upload the PDF version if the provider gave it to you directly.
    • Letters completed by the child care program staff will not be accepted

    ✔️ Child(ren)’s Plan(s)
        Submit at least one of the following, dated within the past 6 months:   

    • CIS One Plan (active or interim plan)
    • Individualized Education Plan (IEP)
    • Educational Support Team (EST) Plan
    • 504 Plan
    • Mental Health/Behavorial/Health Related Plan

    If no formal plan is available, include referrals, screenings, or evaluations that demonstrate and show the child’s need for support.

    ✔️ Certificate of Insurance
         • Must meet the insurance requirements outlined in Attachment C, Section 8 of
           the RFGA.

    ✔️ W-9 Form 
          • Must be signed and dated within the last six (6) months.
    ✔️ Unique Entity ID (UEI)

    • Unique Entity ID (UEI) – Applicants are required to have a UEI assigned by registering on SAM.gov.
    • Suppose you have requested a UEI but have not yet received it. In that case, you will need to provide a copy of the email from SAM.gov showing that you have requested the UEI and/or the help desk email confirmation regarding any follow-up on the issuance of a UEI.
    • If your UEI is in process, please upload a signed and dated Certification of Suspension and Debarment.
    • If you have a UEI, but your SAM registration is not active, please upload a signed and dated Certification of Suspension and Debarment.

    Questions and Technical Support:

    🧾 SAG Weekly Applicant Information Session
    Join our weekly virtual Q&A to ask questions or get help with your SAG application.

    🗓 Day: Every Thursday (unless otherwise posted)
    🕛 Time: 12:00 PM – 1:00 PM
    📍 Location: Microsoft Teams (virtual)
    🔗 Join the Meeting Online
    Click here to join the meeting now                                                                        Meeting ID: 272 197 492 755 7
    Passcode: Vo2Ni2ev

    📞 Join by Phone
    Dial: +1 802-552-8456,,443062859# (United States – Montpelier)
    Phone Conference ID: 443 062 859#
    Find a local dial-in number

     

     

  • Before You Proceed with the Application

  • Before proceeding with the application, please note the following:

    • The application could take 30 to 60 minutes to complete.
      • You can save and continue later at any time by clicking the Save button at the bottom of the page. In order to save, you will be required to create a JotForm account (if you don't already have one) using an existing Google or Facebook account, or your email.
    • Please have the Required Attachments (see previous page) saved to your computer and ready to upload into this application.
  • Please verify the following:*

  • You cannot move forward with this application until you have reviewed the RFGA.

  • You cannot move forward with this application until you have received parent/guardian consent for each child named in the application. To get consent, please have the parent(s)/guardian(s) complete the CIS Parent/Guardian Authorization Consent Form. 

  • SAG Application Part 1

    Organization/Program Information
  • Application Status

  • Who is the Point of Contact?

    Responsible for answering questions regarding this application information.
  • Format: (000) 000-0000.

  • Child Care Program Details...

  • If your program does not have Specialized Child Care status, please reach out to your Specialized Child Care Coordinator at the  to find out more about becoming a Specialized Child Care Program.  Please do not continue with this application until you have contacted your Specialized Child Care Coordinator.

  • Does your program currently have an active Special Accommodation Grant (SAG)?

  • Child(rens) Information

  • ⚠️Reminder for Renewal Applications

    • If you are reapplying for a child who currently has a SAG grant, please note that there is not a separate renewal application.
    • For each question, think about the progress you have made and describe your answers from that perspective.
    • Include when possible:
      • The strategies currently in place to support the child
      • An explanation of how these strategies are working and the improvements observed
      • Any new or adapted practices your program is using to further strengthen inclusion
      • A clear explanation of why continued funding is necessary to maintain or enhance support for the child

  • Child 1 Information

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  • Child 1 Application Status
  • Child 1 Date of Birth*
     - -
  • Is the parent/legal guardian’s primary physical address different than the child’s?*
  • Format: (000) 000-0000.
  • Child 1-Does the child/family receive Child Care Financial Assistance?*
  • Child 1 -Has the child received a placement change within the last year (e.g., entering foster care, changing foster homes, or entering reunification)?*
  • Format: (000) 000-0000.
  • Child 1-Does the child/family have health insurance?*
  • Child 1 -Is this the child's first time in a child care setting?*
  • Child 1-Has this child previously been required to leave a childcare setting due to the program's inability to meet the child's needs?*
  • Child 1-Is this child currently attending your program?*
  • Child 1-When did this child begin attending your program?*
     - -
  • Child 1-Have the child’s needs affected their enrollment or daily participation in your program If yes, please indicate how.*
  • Child 1- What age group is the child transitioning too?*
  • Child 1-Has this child been supported previously by SAG funding in your program?*
  • Child 1-Start Date of Last SAG Received*
     - -
  • Child 1-End Date of Last SAG Received*
     - -
  • Please enter the number of hours the child currently attends your program. All fields must be filled. Enter zeros as needed.
    Rows
  • Child 1-Is this child 3 or older?
  • Child 1-Does the child receive Universal Pre-K (UPK) funding (for 10 hours a week) in your program?*
  • Child 1-Does the school district or supervisory union (LEA) provide any special education or related services to the child during their day (e.g., IEP services, consultation, specialty providers)?*
  • Child 1-Has this child been referred for a special education evaluation or services?
  • Child 1-Why does the child not currently receive special education services or support from their school district?
  • Child 1-Is your child care program located in the same school district as the child's town of residence?

  • Please upload the Service/Health Provider Letter of Support if it was not submitted by the provider through the JotForm process .

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  • Child 1- Does the child have a current medical, developmental, or mental health condition or diagnosis?*
  • Child 1-The child’s condition or diagnosis is (check all that apply):*
  • Child 1-Are there medical or personal care needs that require additional adult support during the day (medication, feeding, toileting, mobility)? If yes, please describe the supports your program provides to help the child participate fully.*
  • Child 1-How often do the child’s needs (behavioral, emotional, medical, or personal care) raise safety concerns or require additional supervision that affects their participation in the classroom.*
  • Child 1-What unsafe behavior does the child engage in? Please select all that apply:*
  • Child 1- What strategies has your program tried?*
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  • Child 1-What services does the child receive?*
  • Child 1-Does this child currently receive any direct supports at the child care program?*
  • Child 1-What services or support has your program accessed to support this child/classroom?

  • Child 2 Information

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  • Child 2 Application Status
  • Child 2 Date of Birth*
     - -
  • Child 2-Is the parent/legal guardian’s primary physical address different than the child’s?*
  • Format: (000) 000-0000.
  • Child 2-Does the child/family receive Child Care Financial Assistance?*
  • Child 2-Has the child received a placement change within the last year (e.g., entering foster care, changing foster homes, or entering reunification)?*
  • Format: (000) 000-0000.
  • Child 2-Does the child/family have health insurance?*
  • Child 2-Is this the child's first time in a child care setting?*
  • Child 2-Has this child previously been required to leave a child care setting due to the program's inability to meet the child's needs?
  • Child 2-Is this child currently attending your program?*
  • Child 2-When did this child begin attending your program?*
     - -
  • Child 2-Have the child’s needs (medical, behavioral, developmental, or personal care) affected their enrollment or participation in your program? (For example, requiring staffing changes, safety adjustments, or reduced hours/days.)
  • Child 2-What age group is the child transitioning to?*
  • Child 2-Has this child been supported previously by SAG funding in your program?*
  • Start Date of Last Grant Received*
     - -
  • End Date of Last Grant Received*
     - -
  • Please enter the number of hours the child currently attends your program. All fields must be filled. Enter zeros as needed. *
    Rows
  • Child 2-Is this child 3 years or older?*
  • Child 2-Does the child receive Universal Pre-K (UPK) funding (for 10 hours a week) in your program?*
  • Child 2-Are they receiving special education or support services from their school district or supervisory union (LEA)?*
  • Child 2-Has this child been referred for a special education evaluation or services?*
  • Child 2-Why does the child not currently receive special education services or support from their school district?*
  • Child 2-Is your child care program located in the same school district as the child's town of residence?*

  • Please upload the Service/Health Provider Letter of Support if it was not submitted by the provider through the JotForm process .

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  • Child 2-Does the child have a current medical, developmental, or mental health condition or diagnosis?*
  • Child 2-The child’s condition or diagnosis is (check all that apply):*
  • Child 2-Does the child have medical or personal care needs (medication, feeding, toileting, mobility, etc.) that require adult support that is significantly above and beyond what is typical for their age group?*
  • Child 2-What unsafe behavior does the child engage in? Please select all that apply:*
  • Child 2-What strategies has your program tried?*
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  • Child 2-What services does the child receive?*
  • Child 2-Does this child currently receive any direct supports at the child care program?*
  • Child 2-What services or support has your program accessed to support this child/classroom?*

  • Child 3 Information

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  • Child 3 Application Status
  • Child 3 Date of Birth*
     - -
  • Child 3-Is the parent/legal guardian’s primary physical address different than the child’s?*
  • Format: (000) 000-0000.
  • Child 3-Does the child/family receive Child Care Financial Assistance?*
  • Child 3-Does this child/family have an open or custody case with the Family Services Division (FSD)?*
  • Child 3-Has the child received a placement change within the last year (e.g., entering foster care, changing foster homes, or entering reunification)?*
  • Format: (000) 000-0000.
  • Child 3-Does the child/family have have insurance?*
  • Child 3-Is this the child's first time in a child care setting?*
  • Child 3-Has this child previously been required to leave a child care setting due to the program's inability to meet the child's needs?*
  • Child 3-Is this child currently attending your program?*
  • Child 3-When did this child begin attending your program?*
     - -
  • Child 3-Have the child’s needs (medical, behavioral, developmental, or personal care) affected their enrollment or participation in your program? (For example, requiring staffing changes, safety adjustments, or reduced hours/days.)*
  • Child 3-What age group is the child transitioning to?*
  • Child 3-Has this child been supported previously by SAG funding in your program?*
  • Child 3-Start Date of Last Grant Received*
     - -
  • Child 3-End Date of Last Grant Received*
     - -
  • Please enter the number of hours the child currently attends your program. All fields must be filled. Enter zeros as needed. *
    Rows
  • Child 3-Is this child 3 years or older?*
  • Child 3-Does the child receive Universal Pre-K (UPK) funding (for 10 hours a week) in your program?*
  • Child 3-Are they receiving special education or support services from their school district or supervisory union (LEA)?*
  • Child 3-Has this child been referred for a special education evaluation or services?*
  • Child 3-Why does the child not currently receive special education services or support from their school district?*
  • Child 3-Is your child care program located in the same school district as the child's town of residence?*

  • Please upload the Service/Health Provider Letter of Support if it was not submitted by the provider through the JotForm process .

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  • Child 3-Does the child have a current medical, developmental, or mental health condition or diagnosis?*
  • Child 3-The child’s condition or diagnosis is (check all that apply):*
  • Child 3-Does the child have medical or personal care needs (medication, feeding, toileting, mobility, etc.) that require adult support that is significantly above and beyond what is typical for their age group?*
  • Child 3-What unsafe behavior does the child engage in? Please select all that apply:*
  • Child 3-What strategies has your program tried?
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  • Child 3-What services does the child receive?
  • Child 3-Does this child currently receive any direct supports at the child care program?
  • Child 3-What services or support has your program accessed to support this child/classroom?*

  • Child 4 Information

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  • Child 4 Application Status
  • Child 4 Date of Birth*
     - -
  • Child 4-Is the parent/legal guardian’s primary physical address different than the child’s?*
  • Format: (000) 000-0000.
  • Child 4-Does the child/family receive Child Care Financial Assistance?*
  • Child 4-Has the child received a placement change within the last year (e.g., entering foster care, changing foster homes, or entering reunification)?*
  • Format: (000) 000-0000.
  • Child 4-Does the child/family have health insurance?*
  • Child 4-Is this the child's first time in a child care setting?*
  • Child 4-Has this child previously been required to leave a child care setting due to the program's inability to meet the child's needs?*
  • Child 4-Is this child currently attending your program?*
  • Child 4-When did this child begin attending your program?*
     - -
  • Child 4-Have the child’s needs (medical, behavioral, developmental, or personal care) affected their enrollment or participation in your program? (For example, requiring staffing changes, safety adjustments, or reduced hours/days.)*
  • Child 4-What age group is the child transitioning to?*
  • Child 4-Has this child been supported previously by SAG funding in your program?*
  • Child 4-Start Date of Last Grant Received*
     - -
  • Child 4-End Date of Last Grant Received*
     - -
  • Child 4-Please enter the number of hours the child currently attends your program. All fields must be filled. Enter zeros as needed.*
    Rows
  • Child 4-Is this child 3 years or older?*
  • Child 4-Does the child receive Universal Pre-K (UPK) funding (for 10 hours a week) in your program?*
  • Child 4-Are they receiving special education or support services from their school district or supervisory union (LEA)?*
  • Child 4-Has this child been referred for a special education evaluation or services?*
  • Child 4-Why does the child not currently receive special education services or support from their school district?
  • Child 4-Is your childcare program located in the same school district as the child's town of residence?*

  • Please upload the Service/Health Provider Letter of Support if it was not submitted by the provider through the JotForm process .

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  • Child 4-Does the child have a current medical, developmental, or mental health condition or diagnosis?*
  • Child 4-The child’s condition or diagnosis is (check all that apply):*
  • Child 4-Does the child have medical or personal care needs (medication, feeding, toileting, mobility, etc.) that require adult support that is significantly above and beyond what is typical for their age group?*
  • Child 4-What unsafe behavior does the child engage in? Please select all that apply:*
  • Child 4-What strategies has your program tried?
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  • Child 4-What services does the child receive?*
  • Child 4-Does this child currently receive any direct supports at the child care program?*
  • Child 4-What services or support has your program accessed to support this child/classroom?*

  • Funding Request Details

    Please provide one funding request for all the identified children in your program.
  • What type of SAG funding are you applying for? (Please select all that apply.)*

  • Associated Costs: Adaptive Supplies or Materials

  • Specifications: Supplies and materials should directly support the inclusion and development of children with identified needs. The following categories outline acceptable use of grant requests up to $1,000.00 per application.

  • Please list specific supplies/materials. These must be specific to the child's needs (i.e., age appropriate). $1,000.00 Limit*

  • Specialized Training/Consultation

  • Please list the specific trainings/consultations or coaching. This cannot occur outside of the approved grant award term. (Not to exceed 1000.00)*

  • Inclusion Support Staff

  • Inclusion Support Staff should not exceed the maximum hours as listed below in the chart.      

    Age of Child(ren)  Allowable hours per week funded by SAG award
    0-2  35 hours 
    3-5  38 hours
    6-13  15 hours afterschool /or up to 38 for school vacations, including summer

     

  • Proposed Start Date (An application's proposed grant start date can't be prior to the current RFGA round submission deadline. See SAG Guidance) *
     - -
  • Proposed End Date - (An application's proposed end date can't exceed 12 months)*
     - -

  • Staff 1

  • Staff 2

  • Staff 3

  • Additional Requirements

  • SAM.Gov Information

  • Does your program have a SAM Unique Entity ID (UEI)?
  • Have you requested a UEI at SAM.gov but not yet received the UEI?

  • The application cannot go further until a UEI is entered or an email showing a UEI has been requested and uploaded. Please visit Sam.gov and select Get Started button in the Register Your Entity or Get a Unique Entity Id section in order to request a UEI.

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  • Does your program also have an active SAMS Registration?  Please see SAM.gov for information on the difference between a UEI and an active registration.*
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  • Risk Assessment

  • Did your business or organization have one or more audit findings in your last single audit regarding program non-compliance? A single audit is an organization-wide financial statement and federal awards' audit of a non-federal entity that expends $750,000.00 or more in federal funds in one fiscal year.*
  • Did your business or organization have one or more audit findings in your last single audit regarding significant internal control deficiency?*

  • Exceptions to the Standard State Granting/Contracting Provisions

  • Required- Certificate of Insurance

    Please submit a correct copy that meets the specifications below:

  • The Certificate of Insurance must include the following minimum coverages:

    • Workers Compensation
    • General Liability and Property Damage
      • The policy shall be on an occurrence form, and limits shall not be less than:
        • $1,000,000 Each Occurrence
        • $2,000,000 General Aggregate
        • $1,000,000 Products/Completed Operations Aggregate
        • $1,000,000 Personal & Advertising Injury
    • Must have the State of Vermont listed as the Certificate Holder with the following address:                                                                                                 State of Vermont, 280 State Drive, Waterbury, VT  05671
    • The State of Vermont and its agencies, departments, officers, and employees listed as additional insureds for general liability must be included.
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  • Required -W-9 Form

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  • Certification & Submission

  • By submitting this application, you certify to the following:

    • The information provided on this application is true and accurate.
    • I understand that the information provided on this application may be verified by other programs, such as Child Care Licensing, Child Care Financial Assistance Program and AHS prior to a grant award being issued.
    • I agree that, as the Applicant, I must repay the grant or portion of the grant to the CDD if any grant funds received are based on incorrect representations made on this application or to the State related to this application.

  • Important! Please read.

    If you want a copy of your entire submission, you MUST click the Print button below before you click the Submit button. The confirmation email you receive once you hit submit will not contain any HIPAA-related information.

    Please Note: If you print or save the application, you are responsible for ensuring HIPAA compliance.

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