Although Beyond the Bell is a separate program, SACC forms will still be used.
Center Based Paperwork
Completed and turned into center staff. These forms must be turned in directly to center staff prior to your child’s 1st day of attendance.
Child Information for SACC Records Form.
A separate form is required for each child. At the beginning of each school year, families must review the form on file for each child and update any information as needed.
Commonwealth of Virginia School Entrance Health Form and Certification of Immunization.
Families are also required to provide a copy of the Commonwealth of Virginia School Entrance Health form and Immunization Record for each child enrolled.
Financial Paperwork
Completed financial paperwork can be submitted one of three ways:
- Email: ncssaccregistration@fairfaxcounty.gov
- Fax: 703-653-1304
- Mail: 12011 Government Center Pkwy., Suite 936, Fairfax, VA 22035
Sliding Fee Application form (PDF) English - Required only if applying for reduced fees based on adjusted household income
Aplicación para Escala de Tarifas (PDF) Spanish
*Supporting Documents for Sliding Fee Application
Pay stubs should be submitted for all adults living in the household who are currently employed. If pay stubs are not provided by the employer, please complete the Employment Verification form. Employment is not required for SACC program eligibility.
Additional supporting documents may be needed based on the application.
Employment Verification form (PDF) English- Submit only if you are currently employed but do not receive pay stubs from your employer. Employment is not required for SACC program eligibility.
Formulario de Verifications de Empleo (PDF) Spanish
Unemployment Verification Form English - Submit only if you are currently unemployed.
Formulario de Verificación de Desempleo (PDF) Spanish
Self-employment Information form (PDF) English - Submit only if you have been self-employed for less than 12 months and did not file as self-employed on your most recent taxes.
Formulario de Información para el Trabajador Independiente (PDF) Spanish
If you filed as self-employed on your most recent taxes, please submit the following:
- 1040, first page
- Schedule 1
- Schedule C
Please call registration staff at 703-449-8989, TTY 711 if you have any questions regarding the financial paperwork.
