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- Child Care Licensing
- Forms for Child Care
Forms for Child Care
Background Studies
Class Worksheets
- Class A License Worksheet-72000-129 A 9/14 (PDF)
- Class C-1 License Worksheet-72000-129 C-1 9/14 (PDF)
- Class C-2 License Worksheet-72000-129 C-2 9/14 (PDF)
- Class C-3 License Worksheet-72000-129 C-3 9/14 (PDF)
Emergency/Safety
- Child Care Emergency Plan-DHS-7955 (PDF)
- Fire Extinguisher List-72000-7 3/22 (PDF) (must be tagged annually)
- Guidance: Poisonous Plants in Family Child Care-DHS-7745 (PDF)
- Monthly Crib Safety Inspection Form-DHS-7743 (PDF)
- Monthly Drill Log - Child Care Homes-72000-63 11/19 (PDF)
- Serious Injury Reporting Form - Family Child Care-DHS-7774 (PDF)
Miscellaneous
- Certificate of Compliance-MN Workers’ Compensation (PDF)
- Child Care Assistance Provider Form-EA-572 6/15 (PDF)
- Child Enrollment-Family Child Care-DHS-7934 (PDF)
- Electronic Data Consent-70000-21 9/20 (PDF)
- Family Child Care Request for Expedited Correction Order Reconsideration-DHS-TCM-1053-327240 (PDF)
- Family Child Care Weekly Attendance Schedule-DHS-7297A (PDF)
- Licensing Requirement Dispute - Family Child Care-DHS-7966 (PDF)
- Physician’s Report-DHS-1995 (PDF)
- Provider Training Record-CC-72000-27 4/21 (PDF)
- Substitute Tracking-Child Care Licensing-72000-153 11/19 (PDF)
Variances
Miscellaneous
- Child Care Provider's Policies and Contract-SAMPLE (PDF)
- Family Child Care Admission and Arrangements Form-DHS-7776 (PDF)
- Family Child Care Allergy Information Form-DHS-7736 (PDF)
- Immunization Form-MDH (PDF)
- Liability Insurance Notice to Parents or Guardians-DHS-7741 (PDF)
- Maltreatment of Minors Mandated Reporting Form-DHS-7634C (PDF)
- Permission to Administer Medication-72000-8 3/13 (PDF)
- Permission to Administer Non-Prescription Products-72000-9 3/13 (PDF)
- Rule and Statute Summary - Family Child Care-DHS-7747 (PDF)
- Travel and Activity Authorization-72000-57 8/11/10 (PDF)
Pools
- Swimming Pool Permission Form-DHS-7749A (PDF)
- Swimming Pool Risks-DHS-7749B (PDF)
- Wading Pool Permission Form-DHS-7749C (PDF)
- Wading Pool Risks-DHS-7749D (PDF)
Safe Infant Sleep
Contact Us
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Licensing Information for Child Care
Phone: 651-430-8307
Email Child Care LicensingInterpreter service is available
Locations
Cottage Grove
Forest Lake
Stillwater
WoodburyOffice Hours
Monday - Friday
8 a.m. - 4:30 p.m.