Child Care Provider Forms

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​​​​Para traducir este sitio al español, utilice el menú desplegable en la esquina superior derecha marcado como "Select Language" y seleccione español.​​​​​​​​​​

General Forms

​Enrollment

• Child Care Provider Subsidy Enrollment updated August 2023​ Engl​ish/Spanish
  
• Child Care Center Inspection Checklist updated January 2023 English/Spanish​
  
• Family Child Care Home, License Exempt Home, In-Home Inspection Checklist updated January 2023 English/Spanish​​
  
• ​License Exempt Family Child Care Home Self-Certification Checklist updated September 2020 Engli​sh/Spanish​
  
• In-Home Child Care Self-Certification Checklist updated March 2024 English/Sp​​anish​
  
• Relative Exempt Request Form updated April 2023 English/Spanish
• Private Pay Rates updated January 2023 English/Spanish
  

Health & Safety Training

• ​​​Health and Safety Training Verification Form ​​​​updated March 2023 English/Spanish
  
• NEW! The Health and Safety Training Verification Form now combines the previously separate Health and Safety Verification (Prepare to Care) and Pediatric First Aid/CPR Verification into one.​
  
• License Exempt and In-Home Training Verification Form NEW​​ April 2023​ English/Spanish

​​Pediatric First Aid & CPR

• Child Care Center Pediatric First Aid & CPR Reimbursement Request updated April 2023 English/Spanish​
  

Fillable Calendars

• Child Care Center, Family Child Care Home I & II, & License Exempt Calendar updated July 2023 English/Spanish
• In-Home (License Exempt) Calendar updated July 2023 English/Spanish
  

​Not Fillable Calendars

• Child Care Center, Family Child Care Home I & II, & License Exempt Calendar ​updated July 2023 English/Spanish
• In-Home (License Exempt) Calendar updated July 2023 English/Spanish
  

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