Change in Licensed Capacity Application
This form is must be signed and completed when a Large Group Child and /or School Age program changes their licensed capacity. Word Document
Children's Records Checklist and Instructions
Use this checklist to keep track of the children's records for documentation purposes. Word Document
Family Involvement Information
This document describes requirements of child care programs and providers in regard to working with families and parents. Word Document
Fee Schedule
This schedule identifies licensing application fees for all childcare programs.Health Care Consultant Agreement
The Department of Early Education and Care Standards for the Licensure or Approval of Group Child Care and School Age Child Care Programs, 102 CMR 7.00, require that each licensee designate a Massachusetts licensed physician, registered nurse, nurse practitioner or physician's assistant, with pediatric or family health training and/or experience as the program's Health Care Consultant. Word Document
Indoor/Outdoor Space Sketch
This form is used by Group and School Age providers to describe their indoor and outdoor space. Word Document
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Licensing Exemption Application
In Massachusetts, a license is required to provide most child care services. In some circumstances, the caring arrangement may be exempt from licensure and may not require a license. Please complete this form to assist us in determining whether or not your program is exempt from child care licensing regulations.
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Required Documents for Provisional Licensure
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Renewal Documents Verification Statement
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Small Group, Large Group, and School Age Licensing Application
Staff Information Form
This form must be completed by all staff employed at the child care facility. Word Document
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Staff Records Checklist and Instructions
This checklist completed by programs identifies all the information required in Small Group, Large Group and School Age Child Care staff files. Word Document

Tax Certification Statement
This form verifies that your child care program has complied with state tax law. Word Document
Transportation Supplement
This form must be completed for each vehicle used to transport children. Word Document
Variance request form
Please complete this form and attach any additional information and return to your licensor. In order to receive a variance, you must submit clear evidence, to the satisfaction of the Department, that your variance proposal meets the spirit and intent of EEC regulations.
