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Licensing Forms for Family Child Care Providers

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Family Child Care Licensing Fees and Payment Instructions

Family Child Care Application Payment Instructions (English, DOCX 9.33 KB)
FCC Application Payment Instructions - Spanish (Instrucciones Para El Pago De Su Solicitud) (English, PDF 49.34 KB)
Application Fee Schedule (English, PDF 43.74 KB)
Application Fee Schedule - Khmer (Khmer, PDF 44.97 KB)
Application Fee Schedule - Portuguese (Plano de taxas para pedidos) (English, PDF 38.21 KB)
Application Fee Schedule - Spanish (Tabla de tarifas para solicitudes) (English, PDF 11.09 KB)

Family Child Care Assistant Fees and Payment Instructions

Certified Assistant Application Payment Instructions (English, PDF 53.31 KB)
Certified Assistant Application Payment Instructions - Spanish (ca Instrucciones para el pago de su solicitud) (English, PDF 53.31 KB)
Certified Assistant Application Payment Instructions - Khmer (Khmer, PDF 72.93 KB)
Certified Assistant Application Payment Instructions - Portuguese (A Folha de Instruo_oo de pagamento para um Assistente Certificado) (English, PDF 59.08 KB)
Application Fee Schedule (English, PDF 43.74 KB)
Application Fee Schedule - Spanish (Tabla de tarifas para solicitudes) (English, PDF 11.09 KB)
Application Fee Schedule - Khmer (Khmer, PDF 44.97 KB)
Application Fee Schedule - Portuguese (Plano de taxas para pedidos) (English, PDF 38.21 KB)

Family Child Care License Upgrade Fees and Payment Instructions

Upgrade Application Payment Instructions (English, PDF 54.06 KB)
Upgrade Application Payment Instructions - Portuguese (As instruo_oes para o Pagamento: A mudano_a de uma Liceno_a de FCC ou Cetificate Assistente) (English, PDF 59.64 KB)
Upgrade Payment Instructions - Spanish (Las instrucciones para el Pago: El cambio de una Licencia de FCC o Cetificate Ayudante) (English, PDF 54.06 KB)
Application Fee Schedule (English, PDF 43.74 KB)
Application Fee Schedule - Khmer (Khmer, PDF 44.97 KB)
Application Fee Schedule - Portuguese (Plano de taxas para pedidos) (English, PDF 38.21 KB)
Application Fee Schedule - Spanish (Tabla de tarifas para solicitudes) (English, PDF 11.09 KB)

Family Child Care Recordkeeping Forms

Parent Handbook (English, PDF 96.93 KB)
Family Child Care Enrollment Packet (English, PDF 126.23 KB)
Family Child Care Enrollment Packet - Khmer (Khmer, PDF 137.44 KB)
Family Child Care Enrollment Pakcet - Portuguese (Pacote de Matro_cula de Cuidado de Criano_a) (English, PDF 115.32 KB)
Family Child Care Enrollment Packet - Spanish (La informacio_n sobre Nioo Cuida Matriculacio_n) (English, PDF 122.84 KB)
Family Child Care Sample Forms Packet (English, PDF 129.68 KB)
Family Child Care Sample Forms Packet - Khmer (English, PDF 137.37 KB)
Family Child Care Sample Forms Packet - Portuguese (Pacote de Impressos de Amostra Para Cuidados Infantis Familiareas) (English, DOCX 31.76 KB)
Family Child Care Sample Forms Packet - Spanish (Paquete de Formularious de Muestra Para el Cuidado Infantil Familiar) (English, PDF 140.18 KB)
Notice to Parents Regarding Supervision of Children Involving Transportation (English, PDF 49.99 KB)

Tools for Family Child Care Providers

Children's Record Checklist and Instructions (English, PDF 84.44 KB)
Instructions for Child Care Record Chart - Khmer (Khmer, PDF 67.94 KB)
Instructions for Child Care Record Chart - Spanish (Las instrucciones para Revisar el Registro de Nioos) (English, PDF 13.3 KB)
Instructions for Child Care Record Chart - Portuguese (As instruo_oes para Revisar Registro de Criano_as) (English, PDF 12.24 KB)
Child Care Record Chart - Khmer (Khmer, PDF 36.74 KB)
Child Care Record Chart - Portuguese (As criano_as sem precedentes Trao_a) (English, PDF 42.06 KB)
Child Care Record Chart - Spanish (Los nioos sin precedentes Trazan) (English, PDF 40.89 KB)
Self Assessment Tool (English, PDF 90.38 KB)
Family Child Care Assistant Record (English, PDF 86.24 KB)
Assistants Documentation Checklist (English, PDF 56.9 KB)
Assistants Documentation Checklist - Khmer (Khmer, PDF 42.36 KB)
Assistants Documentation Checklist - Portuguese (Lista de Verificao_oo de documentao_oo de Auxiliares) (English, PDF 31.97 KB)

Other Forms

Family Child Care Medical Form (English, PDF 63.56 KB)
Family Child Care Medical Form (English, DOCX 24.49 KB)

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