Forms

Download all forms (zip file)​

Individual Forms:

• Introduction to the Provisional Child Care L​i​​c​e​nsin​g ​Process
• ​ CC01 MOA Emergency Caregiver Designation and Qualification Form
  
• CC02 MOA Disaster Preparedness and Emergency Plan Checklist
  
• CC02 MOA Vehicle Safety Checklist​​
• CC52 Application for Provisional Child Care License
  
• CC53 Request for Nighttime Care Specialization
• CC54 Request for Specialized Program Activity
• CC55 Governing Body Information​
• CC56 Administrator Designation and Qualification Form
• CC57 Child Care Facility Administrator Reference
  
• CC58 Child Care Associate Designation and Qualification Form - C
  
• CC59 Child Care Center - Child Care Associate Reference - C​
• CC60 Child Care Licensing Facility Personnel Policies Checklist
• CC61 Parent's Guide to Licensed Child Care
• CC62 First Aid and Disaster Kit Checklist
  
• CC63 Emergency Evacuation Drill Report
  
• CC65 Notification of a Facility Emergency​
• CC67 Get Out Alive! Disaster Preparedness and Emergency Evacuation Plan
• CC71 Child Care Facility Staffing Plan
  
• CC72 Permission to Operate a Child Care Business
  
• CC73 Plan for Shared Use of a Child Care Facility - C​
• CC74 Plan for Alternate Outdoor Recreation Space
• CC75 Request for Exemption from Child Care Licensure
  
• CC77 Child Care Facility Parent Policies Checklist
• CC89 Plan for Care of a Child with Special Needs
• CC91 Child Injury Illness Incident Report
  
• CC92 Facility Schedule Reporting Form​
• CC93 Plant Safety Plan
  
• CC94 Application for Biennial Child Care License
  
• CC95 Report of Change
• CC100 Parent List​
• CC103 Firearm and Ammunition Storage
  
• CC105 Animal On Child Care Facility Premises​​