Providers

Business Forms

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Training Forms

Day Care Program Training Tracking Chart (Word) (233 kB)

Day Care Program Training Tracking Chart (PDF) (18 kB)

Individual Training Tracking Form for Child Care Personnel (PDF) (17 kB)

Individual Training Tracking Form for Child Care Personnel (Word) (221 kB)

Children's Forms

Day Care Registration (Blue Card) (PDF) (57 kB)

Day Care Registration (Blue Card) (Word) (59 kB)

Incident Report for Child Day Care (PDF) (40 kB)

Incident Report for Child Day Care (Word) (59 kB)

Log of Medication Administration (PDF) (36 kB)

Log of Medication Administration (Word) (208 kB)

Medical Statement of Child in Childcare (PDF) (40 kB)

Medical Statement of Child in Childcare (Word) (163 kB)

Permission To Apply OTC Topical Ointments (Word) (20 kB)

Parent - Provider Napping Agreement (Word) (21 kB)

Consent for Emergency Treatment of Minors (CDC) (35 kB)

Daily Health Check Form (Word) (61 kB)

Infant Feeding Schedule & Agreement (Word) (26 kB)

Supervision of School Age Children (Word) (24 kB)

Program Forms

About the Child (Word)

About the Child (PDF)

Daily Attendance Record for Child Day Care (Word)

Daily Attendance Record for Child Day Care (PDF)

Evening/Overnight Care Agreement (Word)

Evening/Overnight Care Agreement (PDF)

Parent-Provider Child Care Contract (Word)

Parent-Provider Child Care Contract (PDF)

Pesticide Application Notification (Word)

Pesticide Application Notification (PDF)

Parent-Provider Transportation Agreement (Word)

Parent-Provider Transportation Agreement (PDF)

Record of Fire Drills for Child Day Care (PDF) (66 kB)

Record of Fire Drills for Child Day Care (Word) (90 kB)

Visitor Log Form (Word) (30 kB)

Sample Visitor Policy (Word) (20 kB)

Other

Inspection Paperwork Checklist (Word) (21 kB)

Inspection Paperwork Checklist (PDF)

Fingerprinting Info Form