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

• What's New
• General Child Care Information
• Child Care Regulations
•  Safe Sleep Training
• 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
• Frequently Asked Questions

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 Status Application
• W-9
• W-9 Instructions
• Insurance Verification Form
• Floor Plan / Square Footage Report

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 05/27/2010