Forms
Child Care Homes
- Child Care Licensing Information Request - BCHS-CC 001
- Child Care Forms Request
- Medication Permission and Instructions for Child Care Homes/Child Care Centers - BCAL-1243
- Permiso e Instrucciones Para la Medicación Para Casas de Cuidado/Guarderias - BCAL-1243-SP
- Background Check and Fingerprinting Information
- Report of Actual or Suspected Child Abuse or Neglect - DHS-3200
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 - BCAL-1485
- Medical Clearance Request - BCAL-3704-CC
- Child Information Record - BCAL-3731
- Child Information Record - BCAL 3731-AR (Arabic)
- Documento de Información del Niño Estado de Michigan - BCAL-3731-SP
- Zoning Approval for Group Child Care Homes - BCAL-3748
- Child in Care Statement/Receipt - BCAL-3900
- Declaración/Recibo de Niños en Cuidado - BCAL-3900-SP
- Corrective Action Plan - BCAL-1894
- Emergency Telephone Numbers - BCAL-4234
- Training Record Family/Group Child Care Homes - BCAL-4590
- Assistant Caregiver Certifications - BCAL-4595
- Driver Verification - BCAL-5039
- Home Fire and Tornado Drill Record - BCAL-4594
- Incident Report - BCAL-4605
- Licensing Notebook Summary Sheet - BCAL-5052
- Request for Modification of the Terms of the License - BCAL-5054
- Sample Attendance Record
- Provisional Waiver - BCHS-1004
Child Care Centers
- Child Care Licensing Information Request - BCHS-CC 001
- Child Care Forms Request
- Medication Permission and Instructions for Child Care Homes/Child Care Centers - BCAL-1243
- Permiso e Instrucciones Para la Medicación Para Casas de Cuidado/Guarderias - BCAL-1243-SP
- Employee Notification to Child Care Center of Arraignment - BCAL-1486
- Application for Child Care Plan Review (BCHS-FS-13)
Required for new building/renovations only.
- Background Check and Fingerprinting Information
- Report of Actual or Suspected Child Abuse or Neglect - DHS-3200
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
- Child Information Record - BCAL-3731
- Child Information Record - BCAL 3731-AR (Arabic)
- Documento de Información del Niño Estado de Michigan - BCAL-3731-SP
- Written Information Packet Documentation - BCAL-4340
- Change of Use Space Request for School-Age Programs Located in Schools - BCAL-4342
- Lead Hazard Risk Assessment Summary - BCAL-4344
- Corrective Action Plan - BCAL-1894
- No Change in Building Construction Declaration - BCAL-2129
- Health Appraisal - MDHHS/BCAL-3305
- Infant/Toddler Primary Caregiver Documentation - BCAL-4557
- Training Record - Michigan Child Care and Education Professional Development Record - BCAL-4591
- Center Fire and Tornado Drill Record - BCAL-4593
- Staffing Plan: Child Care Centers - BCAL-5001
- Staffing Plan: Child Care Centers - BCAL-5001 (Excel)
- Child Care Licensee Designee - BCAL-5003
- Certification of School Building Fire Safety Provisions - BCAL-5043
- Self-Certification of Transportation Provisions for Centers - BCAL-5044
- Certification for Field Trip Transportation - BCAL-5046
- Incident Report - BCAL-4605
- Playground Inspection Certification Summary - BCAL-5047
- Licensing Notebook Summary Sheet - BCAL-5052
- Parent Notification of the Licensing Notebook - BCAL-5053
- Request for Modification of the Terms of the License - BCAL-5054
- Sample Attendance Record
- Provisional Waiver - BCHS-1004
Checklists - Homes and Centers
- Family and Group Child Care Home Compliance Record - BCAL-4601
- Preparing for Your License Renewal Fire Safety Inspection - BCAL-5048
- Child Care Center Compliance Record, Part 1. General Provisions - BCAL-1888
- Child Care Center Compliance Record, Part 2. Environmental Health Provisions - BCAL-4668
- Child Care Center Compliance Record, Part 3. Fire Safety Provisions - BCAL-0722
- Child Care Center Compliance Record, Part 4. Transportation Provisions - BCAL-1891
- Child Care Center Compliance Record, Part 5. Swimming Provisions - BCAL-1890
- Child Care Home Record Requirements - BCAL-5040
- Child Care Center Record Requirements - BCAL-5041
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