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Human Services
 
Forms and Documents

Family Day Care Admissions Arrangements
Family Day Care Admission and Arrangements Form. This form is completed by parents and given to their family child care provider. It includes emergency contact phone numbers medical and dental provider information and is required if the child is receiving services from a licensed provider.
DHS-1715-ENG
 
FAMILY AND GROUP FAMILY DAY CARE RULE SUMMARY FOR PARENTS
pdf MS-2135-ENG
Monthly Crib Safety Inspection Form
pdf DHS-4927-ENG
pdf New Cribs Standards
Child Care Immunization Record
pdf MDH Form
Family Child Care
pdf Power Point Presentation (in PDF format)
Other Forms

pdf Background Check Form
pdf Change of Household Membership
pdf Child Maltreatment Report
pdf Family Child Care Licensing Checklist
pdf Family/Group Family Child Care Training Record
pdf Family Systems Application
pdf Fire Storm Drill Log
pdf Furnace Inspection
pdf Parent Directive for Infant Sleep Position
pdf Physicians Report
pdf Serious Injury / Accident Report Form
pdf Variance Request Form
pdf Variance Request Form - Alternate Disinfectant

 

 

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