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

Family/Group Renewal Application Packet

The following forms/information are included in a Renewal Application Packet for Family/Group Facilities:

• Renewal Application Checklist (Print First)
• Renewal Application (Family/Group)
• Application for Overlap Care
• Insurance Verification Form
• Release of Information
• Statement of Health Form
• Fire Safety Record and Evacuation Plan

Additional Information for Renewal Applications:
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

Renewal Applications that are received after their registration expiration date may have a lapse in their registration. 

All training and required forms must be completed by the registration expiration date or there may be a lapse in the registration certificate.

Renewal Applications not completed within 60 days of the registration expiration date will require a New Application to continue providing care.

This page last updated 04/10/2008