Quality Assurance Division
Child Care Licensing
Center New Application Packet
The following forms/information are included in a New Application Packet for Center Facilities:
- New Center Application Checklist
- New Application (Center)
- W-9
- Insurance Verification Form
- Menu Form
- Activity Schedule/Written Plan
- Floor Plan/Square Footage Report
- Fire Safety Record and Evacuation form
- Center Staff Master List
- Employee Cover Sheet
- Background Check Instructions
- 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
- Egress Window Requirements
All New Day Care Center 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.
