Quality Assurance Division
Child Care Licensing
Family/Group New Application Packet
The following forms/information are included in a New Application Packet for Family/Group Facilities:
- New Family / Group Application Checklist (Print First)
- New Application (Family/Group)
- Application for Overlap Care
- W-9
- Insurance Verification Form
- Fire Safety Record and Evacuation Plan
- Menu Form
- Activity Schedule/Written Plan
- Floor Plan/Square Footage Report
- Employee Cover Sheet
- Release of Information
- Statement of Health Form
Additional Information for New Applicants:
New Provider Pamphlet
Provider Staff Role Types
Child/Infant Child Care Regulations
General Child Care Information
Information Regarding Medication Administration in Child Care
Out of State Background Checks
Tribal Background Checks
All Family/Group New Application Packets should be submitted to:
Bobbi Jo Walla
2121 Rosebud Dr, Suite D
Billings, MT 59102
(406) 256-7062
