Child Care Licensing Resources:

Child Care Forms & Publications

Numerical Listing

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Form No. Date Title
N/A 01/09 Policy Sample - Family Child Care Centers -
PDF / Word
DCF-F-CFS0052 12/08 Vehicle Safety Inspection
DCF-F-CFS0053 03/09 Staff Record - Child Care Centers
DCF-F-CFS0053A 12/08 Staff Continuing Education Record - Child Care Centers - PDF / Word
DCF-F-CFS0054 02/09 Staff Health Report - Child Care Provider -
PDF / Word
DCF-F-CFS0055 12/08 Incident Report - Child Care Centers - PDF / Word
DCF-F-CFS0056 12/08 Transportation Permission - Child Care Centers -
PDF / Word
CFS-57 12/04 Informed Consent for Observation or Testing by an Outside Agency - Child Care Centers
DCF-F-CFS0058 02/09 Field Trip or Other Activity Notification/Permission - Child Care Centers - PDF / Word
DCF-F-CFS0059 02/09 Authorization to Administer Medication - Child Care Centers - PDF / Word
DCF-F-CFS0060 12/08 Child Health Report - Child Care Centers
DCF-F-CFS0061 01/09 Intake for Child Under 2 Years - Child Care Centers
DCF-F-CFS62 02/09 Child Care Enrollment
DCF-F-CFS0063 02/09 Licensing Checklist - Group Child Care Centers DCF 251
DCF-F-CFS0065 01/09 License Application - Group Child Care Centers
DCF-P-0066 12/08 Entry-Level Training Requirements as of January 1, 2009 - Group Child Care Centers
DCF-F-CFS0067 01/09 License Application - Family Child Care Centers
DCF-F-CFS0069 01/09 Licensing Checklist - Family Child Care Centers DCF 250
DCF-F-CFS0070 06/09 Licensing Checklist - Day Camps
DCF-F-CFS0078 01/09 Child Care Staff-to-Child Ratio Worksheet Group Child Care Centers - PDF / Word
DCF-P-PFS0101 07/08 It Shouldn't Hurt to be a Child
DCF-F-CFS0104-E 09/09 Alternate Arrival / Release Agreement - Child Care Centers - PDF / Word
DCF-F-CFS0297-E 10/09 Request for Exception - PDF / Word
DCF-F-CFS460 07/09 Fire Safety and Emergency Response Documentation - Family Child Care Centers
CFS-497 11/04 Directory Listing / Mailing Labels Order
DCF-F-CFS0543 02/09 Fire Safety and Emergency Response Documentation - Group Child Care Centers
DCF-F-CFS0782 03/09 License Application - Day Camps for Children
DCF-F-CFS1675 03/09 Child Record Checklist - Child Care Centers -
PDF / Word
DCF-F-CFS1675A 04/09 Staff Record Checklist - Group Child Care Centers
DCF-F-CFS2022 07/09 Ordering Information - Inquiry Packets
DCF-F-CFS2026 04/09 Staff Orientation Checklist - Group Child Care Centers - PDF / Word
DCF-F-CFS2027 06/09 Volunteer Training Confirmation - Group Child Care Centers
DCF-F-CFS2048 01/09 Policy Checklist - Group Child Care Centers
DCF-F-CFS2051 05/09 Staff Record Checklist - Family Child Care Centers - PDF / Word
DCF-F-CFS2114 03/09 Continuing Education Record - Independent Reading / Video Viewing
DCF-F-CFS2241 01/09 Initial Licensing Checklist - Family Child Care Centers - PDF / Word
DCF-F-CFS2242 01/09 Initial Licensing Checklist - Group Child Care Centers
DCF-F-CFS2255 03/09 Staff Orientation Checklist - Family Child Care Centers - PDF / Word
CFS-2261 11/03 Caregiver Background Checks Substantially Related Investigation Report - PDF / Word
CFS-2344 10/06 Building Inspection Report - Child Care Centers
DCF-F-CFS2345 03/09 Health History and Emergency Care Plan -
PDF / Word
DCF-F-CFS2356 01/09 Policy Checklist - Family Child Care Centers
DCF-F-2405 04/09 Pre-Camp Training Documentation - Day Camps - PDF / Word
DCF-F-2409 03/09 Policy Checklist - Day Camps
DCF-F-2424 04/09 Counselor-to-Child Ratio Worksheet - Day Camps for Children - PDF / Word
DCF-P-2436 03/09 Your Guide to Licensed Child Care
DCF-F-CFS2438 01/09 Daily Attendance Record - Child Care Centers -
PDF / Word
DCF-F-2452 04/09 Child Record Checklist - Day Camps for Children - PDF / Word
DCF-F-2453 04/09 Staff Record Checklist - Day Camps for Children - PDF / Word
DCF-F-2455 04/09 Counselor-to-Child Ratio While Swimming Worksheet - Day Camps for Children - PDF / Word
DCF-P-2456 04/09 Instructions for Obtaining Forms - Day Camps for Children
DCF-F-2465 08/09 Staff-to-Child Ratio While Swimming Worksheet - Group and Family Child Care
DCF-P-PFS3038 07/09 Instructions for Obtaining Forms - Group & Family Child Care Centers
DCF-P-PFS3064 08/09 Requirements for Caregiver Background Checks for Child Care Centers
DPH-4020L 02/08 Student Immunization Record
DCF-P-PFS4085 06/09 Collaborative Child Care Programs - Technical Assistance Tool
PFS-4088 06/05 Use of 10+ Passenger Vans To Transport Children To and From Schools
PFS-4091 02/05 Entry-Level Non-Credit Courses for Licensed Child Care
DCF-P-PFS4099 07/09 Instructions for Obtaining Licensing Rule Books, Annotated Rule Books and Commentary Manuals
F-44192 09/08 Day Care Immunization Record (DPH-4192)
F-82064A 01/09 Background Information Disclosure (HFS-64A)