Child Care Licensing Bureau forms are available on the website as PDFs and Word Documents. The PDF versions are not fillable and are intended for printing. The Word documents are fillable and are intended for electronic completion.
Request of Child Care Forms - CCL-2021
Child Care Licensing Information Request - BCHS-CCL 001
Medication Permission and Instructions for Child Care Homes/Child Care Centers - CCL-1243
Permiso e Instrucciones Para la Medicación Para Casas de Cuidado/Guarderias - CCL-1243-SP
Complete this form within 72 hours of calling in a suspicion of abuse or neglect.
Report of Actual or Suspected Child Abuse or Neglect - DHS-3200 - Spanish
Report of Actual or Suspected Child Abuse or Neglect - DHS-3200 - Arabic
Notification of Changes in Status-Family and Group Child Care Home - CCL-1485
Medical Clearance Request - CCL-3704
Child Information Record - CCL-3731
Zoning Approval for Group Child Care Homes - CCL-3748
Child in Care Statement - CCL-3900
Corrective Action Plan - CCL-1894
Training Record Family/Group Child Care Homes - CCL-4590
Assistant Caregiver Certifications - CCL-4595
Driver Verification - CCL-5039
Fire and Tornado Record - CCL-4593
Licensing Notebook Summary Sheet - CCL-5052
Request for Modification of the Terms of the License - CCL-5054
Provisional Waiver - CCL-1004
Required for new building/renovations only.