Department of Public Health & Human Services

Quality Assurance Division

Child Care Licensing

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• Child Care Licensing Forms
  Child Care Provider Search
  Early Childhood Services
  On-Line Complaint Form

  General Child Care Information
  Child Care Regulations
  Medication Administration
  Family/Group New Application Packet
  Family/Group Renewal Packets
  Center New Application Packet
  Center Renewal Packets
  Extended Facility Information
  New Employee Information
  Change of Name/Ages/Addresses
  Change of Status

  Complete List of Forms

Quality Assurance Division

Child Care Licensing

Change of Status Application

The following forms/information are included in a Change of Registration Application for Family, Group, and Center Facilities:

• Change of Registration/License Checklist (Print First)
• Change of Registration Application
• W-9
• W-9 Instructions
• Insurance Verification Form
• Activity Schedule/Written Plan
• Sample Written Plan

All Change of Status Application Packets should be submitted to the Child Care Licensor for your County:

A list of the Child Care Licensors by county may be obtained from http://www.dphhs.mt.gov/contactus/childcarelicensing.shtml.

This page last updated 04/10/2008