Child Care Provider Forms

  1. Acknowledgement of infant younger than 6 months rolling (PDF)
  2. Admission and Arrangements Form (PDF)
  3. Allergy Information Form (PDF)
  4. CCAP Daily attendance record (PDF)
  5. CCAP Monthly attendance record (PDF)
  6. Chemical Use Policy (PDF)
  7. Chickenpox and Shingles Report Form (PDF)
  8. Child Care Emergency Plan (PDF)
  9. Crib Safety Inspection form (PDF)
  10. Emergency Phone Number Form (PDF)
  11. Family and Group Family Child Care Rule Summary for Parents (PDF)
  12. Family Day Care Training Record (PDF)
  13. Fire and Storm Drill Log (PDF)
  14. Floor Escape Plan (PDF)
  15. Immunization Form (PDF)
  16. Keeping Kids Safe (PDF)
  17. Liability Insurance Notice to Parents / Guardians (PDF)
  1. Mandated Reporting Form (PDF)
  2. Parent Evaluation of Family Child Care Services (PDF)
  3. Parental Consent for Swaddling an Infant (PDF)
  4. Permission to Administer Over-the-Counter Items (PDF)
  5. Physicians Directive for Alternative Infant Sleep Position (PDF)
  6. Physicians Report Form (PDF)
  7. Provider Emergency Phone Number (PDF)
  8. Reporting Policy for Child Maltreatment (PDF)
  9. Serious Injury Report Form (PDF)
  10. Swimming Pool Parent Letter, Fact Sheet, and Permission Form (PDF)
  11. Travel Activity Authorization Form (PDF)
  12. Variance Application (PDF)
  13. Variance Policy (PDF)
  14. Wading Pool Best Practices (PDF)
  15. Wading Pool Parent Letter, Fact Sheet, and Permission Form (PDF)
  16. Workers Comp-Certificate of Compliance (PDF)