Kita-Gutschein Application
Form Filler and Document Checklist created by KitaApplications.com
Welcome!
Use this form filler to complete the official PDF required by the Berlin Jugendamt. Just enter your information, print and sign the application form, include the required documents (you'll be sent a checklist) and mail the envelope.
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Cost: €20
FREE when you enroll in the Step-by-Step Course for Kita Applications - the coupon code is available in the Kita-Gutschein chapter. Coupon codes are entered and payment is made at the end of the form.
Good to know:
The Kita-Gutschein is used by kitas to get funding for your child's spot. It determines how many hours per day your child is eligible for care. Some fields have been pre-populated with the most typical responses. Keep an eye out for helpful explanations and instructions below the questions. The data you enter is not kept, sold, or distributed and is deleted once you close your browser window. Your completed application, document checklist, and invoice will be available for download and emailed to you. Visit KitaApplications.com for additional information and services. The use of this form is covered under the terms of the privacy policy and impressum on KitaApplications.com
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Information About the Child
Child's First (and Middle) Name
*
Child's Last Name
*
Child's Birthdate
*
.
Day
.
Month
Year
Kita-Gutschein applications can be submitted when the child is 2 months or older.
Child's Sex
*
Female
Male
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Child's Address in Berlin
*
Children must be registered Berlin residents to attend kita.
Child's Nationality
*
Enter your answer in German (ex. Deutsch).
If the child does not have German citizenship, please answer: Has the child applied for or been granted asylum? Or can they otherwise claim refugee status in Germany?
No
Yes
Is the child cared for in a residential institution (Heimerziehung)?
*
No
Yes
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Parents or Caregivers
Father or Caregiver 2's information is required if they have legal custody.
Mother or Caregiver 1's First (and Middle) Name
*
Mother or Caregiver 1's Last Name
*
Mother or Caregiver 1's Birth Name (if different)
Leave blank if there has been no name change.
Mother or Caregiver 1's Birthdate
*
-
Day
-
Month
Year
Date
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Father or Caregiver 2's First (and Middle) Name
Required if they have legal custody.
Father or Caregiver 2's Last Name
Required if they have legal custody.
Father or Caregiver 2's Birth Name
Leave blank if there has been no name change.
Father or Caregiver 2's Birthdate
-
Day
-
Month
Year
Required if they have legal custody.
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Contact Information
Father or Caregiver 2's information is required if they have legal custody.
Mother or Caregiver 1's Address
*
Same as the child
Father or Caregiver 2's Address
Same as the child
Mother or Caregiver 1's Phone Number
*
Include area code
Father or Caregiver 2's Phone Number
Required if they have legal custody.
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The main contact for the application is
*
mother or caregiver 1
father or caregiver 2
other caregiver
The following caregivers have legal custody
*
mother or caregiver 1
father or caregiver 2
other caregiver
I need to enter another caregiver with legal custody
*
No
Yes
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Additional Caregiver (not a parent)
Additional Caregiver's First Name
Additional Caregiver's Last Name
Additional Caregiver's Address
Additional Caregiver's Phone Number
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Details of the Care Request
Desired Start Date
*
-
Day
-
Month
Year
This is typically when your child turns 1 or the following August, when most kitas accept new children (spots at other times of the year open up on short notice. ex. when a child moves away). Before the age of 1, you must prove that neither parent is able to care for the child due to full-time occupation. Your desired start date should be the earliest you could start or would be eligible to attend kita. You can accept offers for kita spots starting any time after this date but you will have to resubmit the Kita-Gutschein application to start earlier.
Number of hours per day
*
4-5 hours: half-time for children under 1 year (uncommon, must prove the need)
5-7 hours: part-time (common, all children over 1 year are eligible)
7-9 hours: full-time (common, must prove the need, preferred by many parent-initiative kitas)
9+ hours: extended (uncommon, must prove the need)
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Drop-off time
*
06:30
07:00
07:30
08:00
08:30
09:00
09:30
10:00
Give the earliest care time based on your work schedule, including commute. 9:00-16:00 is typical for 5-7 hours per day and 08:00-17:00 is typical for 7-9 hours per day.
Pick-up time
*
12:00
12:30
13:00
13:30
14:00
14:30
15:00
15:30
16:00
16:30
17:00
17:30
18:00
18:00
18:30
Give the latest care time based on your work schedule. 9:00-16:00 is typical for 5-7 hours per day and 08:00-17:00 is typical for 7-9 hours per day. It is not common for children to be picked up later than 4/5pm in Berlin.
Optional: The application is being submitted on short notice (less than 2 months in advance) for one of the following reasons:
the child is a newborn
relocation to Berlin
an integration course is beginning
immediate work (including training or other activities as demonstrated in this questionnaire)
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Eligibility for Extended Hours
Both parents must prove they have full-time occupation for additional hours. This information is only required if (1) you are requesting 7-9 or 9+ hours per day for a child who is older than 1 year or (2) you are requesting care before the child's first birthday. Father or Caregiver 2's information is required if they have legal custody.
Mother or caregiver 1's occupational status
*
employment relationship
training relationship (contracted)
self-employed or freelance
education: scholastic
education: vocational or professional training
course of studies
course of retraining
professional training and development
course for integration into work under SGB II with the Jobcenter
other course for work promotion
integration language course based on the Immigration Act
voluntary, equivalent language course
Mother or caregiver 1 is a registered job seeker
*
No
Yes
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Father/caregiver 2 or other caregiver's occupational status
employment relationship
training relationship (contracted)
self-employed or freelance
education: scholastic
education: vocational or professional training
course of studies
course of retraining
professional training and development
course for integration into work under SGB II with the Jobcenter
other course for work promotion
integration language course based on the Immigration Act
voluntary, equivalent language course
Father or caregiver 2 is a registered job seeker
*
No
Yes
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Time commitments per day for each caregiver living with the child
*
Mother/
Caregiver 1
Father/ Caregiver 2 or Other Caregiver
Start time
End time
= Total hours per day
+ Total commute time per day (round trip, in hours)
Optional: Are there any other educational, social, or family-related reasons for the need you are requesting? Please briefly explain:
Keep this to a maximum of 2 sentences. In most cases only your occupational time commitments determine your eligibility.
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Irregular Work Schedules
One of the caregivers does shift work
*
No
Yes
If yes, which caregiver does shift work?
*
Mother or caregiver 1
Father or caregiver 2
One of the caregivers has irregular or changing work hours
*
No
Yes
Mother or caregiver 1: On average, per 4 weeks, how many hours are needed outside of 7:30am-12:30pm to cover the irregular work hours?
*
See explanatory notes when you hover over this field.
Father/caregiver 2 or other caregiver: On average, per 4 weeks, how many hours are needed outside of 7:30am-12:30pm to cover the irregular work hours?
*
See explanatory notes when you hover over this field.
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Additional Information for the Care Request
Is German predominantly spoken at home?
*
No
Yes
At least one of the caregivers who lives with the child comes from abroad (the current nationality is not relevant here)
*
Yes
No
Do you live with the child in a homeless facility or other emergency accommodation?
*
No
Yes
Is the child disabled?
*
No
Yes
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Details of the Disability Accommodation
The child is disabled according to SS 53/54 SGB XII
*
No
Yes
If yes, it is due to a physical disability or the potential for one
Yes
No
If yes, it is due to a mental disability or the potential for one
Yes
No
The child is disabled according to SS 35 a SGB VIII
*
No
Yes
File number at the social-pedagogical service/disabled support office
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Get Your Documents
Your email address
*
example@example.com
I allow Kita Applications to use my email address to contact me in connection with the form filler. For further information please review the privacy policy and imprint on kitaapplications.com. By signing and submitting the application form you are bound by the terms outlined on the forms. Kita Applications is not responsible for the result of your care request - this is merely a tool to help you complete the form.
*
I agree
Signature of Mother or Caregiver 1
You may choose to leave this blank and add your wet signature to the printed PDF.
Clear
Signature of Father or Caregiver 2
You may choose to leave this blank and add your wet signature to the printed PDF.
Clear
Today's Date
*
-
Day
-
Month
Year
Date of application
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