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Forms by Category
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Child Care Homes
Child Care Licensing Information Request - BCHS-CCL 001
Child Care Licensing Information Request - BCHS-CCL 001
Medication Permission and Instructions for Child Care Homes/Child Care Centers - CCL-1243
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
Permiso e Instrucciones Para la Medicación Para Casas de Cuidado/Guarderias - CCL-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.Notification of Changes in Status-Family and Group Child Care Home - CCL-1485
Notification of Changes in Status-Family and Group Child Care Home - CCL-1485
Medical Clearance Request - CCL-3704
Medical Clearance Request - CCL-3704
Child Information Record - CCL-3731
Child Information Record - CCL-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 - CCL-3748
Zoning Approval for Group Child Care Homes - CCL-3748
Declaración/Recibo de Niños en Cuidado - BCAL-3900-SP
Child in Care Statement/Receipt - BCAL-3900
Corrective Action Plan - CCL-1894
Corrective Action Plan - CCL-1894
Emergency Telephone Numbers - BCAL-4234
Training Record Family/Group Child Care Homes - CCL-4590
Training Record Family/Group Child Care Homes - CCL-4590
Assistant Caregiver Certifications - CCL-4595
Assistant Caregiver Certifications - CCL-4595
Driver Verification - CCL-5039
Driver Verification - CCL-5039
Home Fire and Tornado Drill Record - BCAL-4594
Licensing Notebook Summary Sheet - CCL-5052
Licensing Notebook Summary Sheet - CCL-5052
Request for Modification of the Terms of the License - CCL-5054
Request for Modification of the Terms of the License - CCL-5054
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Child Care Centers
Child Care Licensing Information Request - BCHS-CCL 001
Child Care Licensing Information Request - BCHS-CCL 001
Medication Permission and Instructions for Child Care Homes/Child Care Centers - CCL-1243
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
Permiso e Instrucciones Para la Medicación Para Casas de Cuidado/Guarderias - CCL-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.Application for Child Care Plan Review (BCHS-FS-13)
- Required for new building/renovations only.
Employee Notification to Child Care Center of Arraignment - BCAL-1486
Child Information Record - CCL-3731
Child Information Record - CCL-3731 Web Proected
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 - CCL-1894
Corrective Action Plan - CCL-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 - CCL-4593Center Fire and Tornado Drill Record - CCL-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
Licensing Notebook Summary Sheet - CCL-5052
Licensing Notebook Summary Sheet - CCL-5052
Request for Modification of the Terms of the License - CCL-5054
Request for Modification of the Terms of the License - CCL-5054
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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