Child Care Licensing Resources:

Child Care Forms & Publications

Alphabetical Listing

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A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

Title - Form # Date
A
Alternate Arrival / Release Agreement - Child Care Centers DCF-F-CFS0104-E - PDF / Word 09/09
Authorization to Administer Medication - Child Care Centers DCF-F-CFS0059 - PDF / Word 02/09
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B
Background Information Disclosure F82064A 01/09
Building Inspection Report - Child Care Centers CFS-2344 10/06
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C
Caregiver Background Checks Substantially Related Investigation Report CFS-2261 - PDF / Word 11/03
Child Care Enrollment DCF-F-CFS62 02/09
Child Care Staff-to-Child Ratio Worksheet Group Child Care Centers DCF-F-CFS0078 - PDF / Word 01/09
Child Health Report - Child Care Centers DCF-F-CFS0060 12/08
Child Record Checklist - Child Care Centers DCF-F-CFS1675 -
PDF / Word		 03/09
Child Record Checklist - Day Camps for Children DCF-F-2452 -
PDF / Word		 04/09
Collaborative Child Care Programs - Technical Assistance Tool DCF-P-PFS4085 06/09
Continuing Education Record - Independent Reading / Video Viewing DCF-F-CFS2114 03/09
Counselor-to-Child Ratio Worksheet - Day Camps for Children DCF-F-2424 - PDF / Word 04/09
Counselor-to-Child Ratio While Swimming Worksheet - Day Camps for Children DCF-F-2455 - PDF / Word 04/09
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D
Daily Attendance Record - Child Care Centers DCF-F-2438 -
PDF / Word		 01/09
Day Care Immunization Record F-44192 (DPH-4192) 09/08
Directory Listing / Mailing Labels Order CFS-497 11/04
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E
Entry-Level Non-Credit Courses for Licensed Child Care PFS-4091 02/05
Entry-Level Training Requirements as of January 1, 2009 - Group Child Care Centers DCF-P-0066 12/08
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F
Family Child Care Policy Sample PDF / Word 01/09
Field Trip or Other Activity Notification/Permission - Child Care Centers DCF-F-CFS0058 - PDF / Word 02/09
Fire Safety and Emergency Response Documentation - Family Child Care Centers DCF-F-CFS460 07/09
Fire Safety and Emergency Response Documentation - Group Child Care Centers DCF-F-CFS0543 02/09
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G
H
Health History and Emergency Care Plan DCF-F-CFS2345 -
PDF / Word		 03/09
Hmong Forms
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I
Incident Report - Child Care Centers DCF-F-CFS0055 - PDF / Word 12/08
Informed Consent for Observation or Testing by an Outside Agency - Child Care Centers CFS-57 12/04
Initial Licensing Checklist - Family Child Care Centers DCF-F-CFS2241 - PDF / Word 01/09
Initial Licensing Checklist - Group Child Care Centers DCF-F-CFS2242 01/09
Instructions for Obtaining Forms - Day Camps for Children DCF-F-2456 04/09
Instructions for Obtaining Forms - Group & Family Child Care Centers DCF-P-PFS3038 07/09
Instructions for Obtaining Licensing Rule Books, Annotated Rule Books and Commentary Manuals DCF-P-PFS4099 07/09
Intake for Child Under 2 Years - Child Care Centers DCF-F-CFS0061 01/09
It Shouldn't Hurt to be a Child DCF-P-PFS0101 07/08
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J
K
L
License Application - Day Camps for Children DCF-F-CFS0782 03/09
License Application - Family Child Care Centers DCF-F-CFS0067 01/09
License Application - Group Child Care Centers DCF-F-CFS0065 01/09
Licensing Checklist - Day Camps DCF-F-CFS0070 06/09
Licensing Checklist - Family Child Care Centers DCF 250 DCF-F-CFS0069 01/09
Licensing Checklist - Group Child Care Centers DCF 251 DCF-F-CFS0063 02/09
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M
N
O
Ordering Information - Inquiry Packets DCF-F-CFS2022 07/09
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P
Policy Checklist - Day Camps DCF-F-2409 03/09
Policy Checklist - Family Child Care Centers DCF-F-CFS2356 01/09
Policy Checklist - Group Child Care Centers DCF-F-CFS2048 01/09
Policy Sample - Family Child Care Centers PDF / Word 01/09
Pre-Camp Training Documentation - Day Camps DCF-F-2405 -
PDF / Word		 04/09
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Q
R
Requirements for Caregiver Background Checks for Child Care Centers DCF-P-PFS3064 08/09
Request for Exception DCF-F-CFS0297-E - PDF / Word 10/09
Russian Forms
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S
Spanish Forms
Staff Record - Child Care Centers DCF-F-CFS0053 03/09
Staff Continuing Education Record - Child Care Centers DCF-F-CFS0053A - PDF / Word 12/08
Staff Health Report - Child Care Provider DCF-F-CFS0054 -
PDF / Word		 02/09
Staff Orientation Checklist - Group Child Care Centers DCF-F-CFS2026 - PDF / Word 04/09
Staff Orientation Checklist - Family Child Care Centers DCF-F-CFS2255 - PDF / Word 03/09
Staff Record Checklist - Day Camps for Children DCF-F-2453 -
PDF / Word		 04/09
Staff Record Checklist - Family Child Care Centers DCF-F-CFS2051 - PDF / Word 05/09
Staff Record Checklist - Group Child Care Centers DCF-F-CFS1675A 04/09
Staff-to-Child Ratio While Swimming Worksheet - Group and Family Child Care DCF-F-2465 08/09
Student Immunization Record DPH-4020L 02/08
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T
Transportation Permission - Child Care Centers DCF-F-CFS0056 - PDF / Word 12/08
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U
Use of 10+ Passenger Vans To Transport Children To and From Schools PFS-4088 06/05
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V
Vehicle Safety Inspection DCF-F-CFS0052 12/08
Volunteer Training Confirmation - Group Child Care Centers DCF-F-CFS2027 06/09
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W
X
Y
Your Guide to Licensed Child Care DCF-P-2436 03/09
Z
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