Community Services Programs

Application forms

Application to operate a Licensed Child Care Facility

• If the name of the facility on the current license begins with the letters A through M, use the A-M provider application form below.
• A-M Provider Application Form
  (Microsoft Word*) (Adobe PDF*)
• If the name of the facility on the current license begins with the letters N through Z, use the N-Z provider application form below.
• N-Z Provider Application Form
  (Microsoft Word*) (Adobe PDF*)
  

Licensing & Certification Rules