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Forms & Guides

​​​Children's Forms

Admission and Arrangement Form
Allergy Information Form
Cradleboard Use Request
Directive for Alternative Infant Sleep Position
Helmet Approval for S​leeping Infant
Immunization Form
Infant Rolling Over Parent Statement
Liability Insurance Notice
Mandated Report Policy
Optional Form of Parent Statement: Infant Less Than Six Months of Age
Parent Cradleboard Request and Monthly Cradleboard Check Form
Permission to Administer Medication Form
Permission to Administer Over the Counter Items
Physician Directive for Alternative Infant Sleep Positions
Rule Summary for Parents
Swaddling Consent for an Infant
Travel Authoriza​tion Form
Wading Pool Permission Form
Wading Pool Fact Sheet

Program Forms

Application – Fa​mily Child Care (new and renewing providers)
​Certificate of Compliance - Minnesota Workers' Compensation Law
Child Care Emergency Plan (DHS-795​5)
Crib Monthly Inspection Form
Enrollment ​Form
Enrollment Form - Fillable
Escape Plan​
Fire and Storm Drill Log
Fire Marshal Permission Form ​for Rental Property
Physician's Report
Privacy Rights
Provider Policy Form
SUID/AHT Off Year Video Training Verification
Trainin​g Lo​g

Inspection ​​Checklists

Change of License Checklist
Full Inspection Checklist
Pre-Licensure Checklist​

Resources and Guides

Child Care Capacity Limits
Child Care Capacity Worksheets: A License C-1 License C-2 License C-3 License
Crib Guide 2011
Keeping Kids Safe
Records for Each Child
Weather Chart

Variance Policy and Requests

Policy 5013 Child Care Age Distribution Variance Request
Child Care Variance Request Form (DHS-7297-ENG)
Child Care Weekly Attendance Schedule (DHS-7297A)
Variance Request Notice to Pa​rents (DHS-7297B)
Child Care Age Distribution Variance Request Checklist (​DAK-5013-ENG)



 

Last updated: 5/12/2025 8:31 AM