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Child Care Providers
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The following forms are child care forms arranged alphabetically. Click on the form you need and then print it out on your home printer. If the form does not open, click on acrobat reader at bottom of page to download this program.
Admission and Arrangement Form
Application
(Only for renewal license not for use for applying to become licensed)
Background Study Form
Checklist
Chicken pox reporting form
Crib Record Form
Crib Guide 2011
Crib Standards
Enrollment Form
Escape Plan
Field Trip Permission Form
Fire and Storm Drill Log
Fire Marshal Permission Form for Rental Property
For Your Visit Form
Home Child Care Emergency Plan
Immunization Form
Mandated Reporter Notification to Parents
Parent Directive for Infant Sleep Position
Permission to Administer Medication Form
Permission to Administer Over the Counter Items
Physician Form
Privacy Rights
Provider Policy Form
Rule Summary for Parents
Swimming Pool Permission forms (not wading pool)
Tracking Record
Training Record
Travel Authorization Form
Variance Form (paper)
Variance Form-On line form to be e-mailed to worker
Wading Pool Permission form
Weather Chart
This page was last updated on: 04/20/2012
Quick Links
Relicensing forms
Consumer Product Safety Commission Crib Safety Center
Chicken Pox reporting info from Dept. of Health
Contact Us
County Main Numbers
651-437-3191
Toll Free - 800-247-1056
Employment & Economic Assistance
651-554-5611
Social Services
952-891-7400
651-554-6000
952-891-7473 (Fax)
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Copyright 2006 Dakota County, Minnesota
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