Child Care Certification Forms and Publications
There are a number of useful application forms and other documents for certified child care providers. Use the two searchable tables below to locate Certified Family Child Care Application Forms and Certified Operator Forms. If you have questions about any of these forms, please contact your local agency certifier.
Other forms, publications that may be of interest include:
Some of our forms and publications are preprinted and can be ordered directly from Document Sales.
Certified Family Child Care Application Forms
| Number | Date | Translation | Type | Title |
|---|---|---|---|---|
| DCF-F-5296-E | 10/19 | English | Word | Background Check Request |
| DCF-F-5296-H | 10/19 | Hmong | Keeb Kwm Dhau Los Txheeb Xyuas Cov Lus Thov | |
| DCF-F-5296-S | 10/19 | Spanish | Solicitud de Verificacion de Antecedentes | |
| DCF-F-DWSW48-E | 04/25 | English | Word | Certification Application - Family/In-Home Child Care Programs |
| DCF-F-DWSW48 | 12/23 | English | Certification Application - Family/In-Home Child Care Programs | |
| IRS-W9 | 11/17 | English | W-9 Request for Taxpayer Identification Number (TIN) and Certification Instructions to complete the W-9 Form |
|
| DCF-F-DWSW13259-E | 10/19 | English | Word |
Regulatory Agency Approval/Acknowledgement to Operate Child Care Business (Applicant holds another license/certificate to care for children or adults. Example: foster parent or child care license.) |
| DCF-F-DWSW13259 | 10/19 | English |
Regulatory Agency Approval/Acknowledgement to Operate Child Care Business (Applicant holds another license/certificate to care for children or adults. Example: foster parent or child care license.) |
|
| DCF-F-DWSW49 | 10/21 | English | Standards and Checklist – Family / In-Home Child Care Certification | |
| DCF-F-DWSW49-S | 10/21 | Spanish | Normas y Lista de Verificación – Certificación de Cuidado Infantil Familiar / en la Casa | |
| DCF-F-5109 | 07/19 | English | Word | YoungStar Contract - Family Provider |
| DCF-F-5109-S | 07/19 | Spanish | Word | Contrato con YoungStar |
| DCF-F-5331-E | 08/19 | English | Word | Petition for Appeal of Ineligibility Determination |
| DCF-F-2587 | 08/21 | English | Word | Wisconsin Shares Participation Contract Required for In-home (providers caring for children in the child's home) applicants who will be caring for Wisconsin Shares funded children. |
| DCF-F-2587-S | 08/21 | Spanish | Word | Contrato de participación en Wisconsin Shares (Wisconsin Shares Participation Contract) Obligatorio para solicitantes que cuidan a niños en la casa (proveedores que cuidan a niños en la casa del niño) que cuidarán a niños financiados por Wisconsin Shares. |
| DHS-F-02314 | 10/19 | English | Wisconsin Tuberculosis Risk Assessment and Symptom Evaluation | |
| English | Family Day Care Homes - Milwaukee Requirements & Analysis Form (For family child care in the City of Milwaukee) | |||
| English | Occupancy Permit - City of Racine (For family child care in the City of Racine) |
Certified Operator Forms and Publications
| Number | Date | Translation | Type | Title |
|---|---|---|---|---|
| 0-N/A | 09/24 | English | Word | Policy Sample - Emergency Plan Regulated Child Care |
| DCF-F-CFS0056 | 10/19 | English | Transportation Permission - Child Care Centers | |
| DCF-F-CFS0056-E | 10/19 | English | Word | Transportation Permission - Child Care Centers |
| DCF-F-CFS0056-S | 10/19 | Spanish | Permiso de Traslado - Centros de Cuidado Infantil | |
| DCF-F-CFS0058-E | 09/21 | English | Field Trip or Other Off Premises Activity Notification/Permission | |
| DCF-P-2436 | 10/19 | English | Your Guide to Regulated Child Care - Summary of the Child Care Rules | |
| DCF-P-2436-S | 10/19 | Spanish | Su Guia Para el Cuidado Infantil Regulado - Su resumen de las reglas del cuidado infantil | |
| DCF-F-CFS0059-E | 04/20 | English | Word | Authorization to Administer Medication - Child Care Centers |
| DCF-F-CFS0059 | 04/20 | English | Authorization to Administer Medication - Child Care Centers | |
| DCF-F-CFS0059-S | 04/20 | Spanish | Autorizacion para Administrar Medicamentos – Centros de Cuidado de Ninos | |
| DCF-F-CFS0060-E | 09/21 | English | Child Health Report - Child Care Centers | |
| DCF-F-CFS0060-S | 09/21 | Spanish | Informe de Salud Infantil - Centros de Cuidado Infantil | |
| DCF-F-62-E | 10/19 | English | Word | Daily Attendance Record - Certified Child Care |
| DCF-F-62 | 10/19 | English | Daily Attendance Record - Certified Child Care | |
| DCF-F-62-S | 10/19 | Spanish | Registro de Asistencia Diaria – Cuidado Infantil Certificado | |
| F-44192 | 2/23 | English | Child Care Immunization Record (required for all children in care) | |
| F-44192S | 2/23 | Spanish | Registro de Inmunizaciones para Guardería Infantil | |
| DCF-F-DWSW13251-E | 12/19 | English | Word | Child Enrollment and Health History - Certified Child Care |
| DCF-F-DWSW13251 | 12/19 | English | Child Enrollment and Health History - Certified Child Care | |
| DCF-F-DWSW13251-S | 12/19 | Spanish | Historial de Salud e Inscripción del Niño – Cuidado Infantil Certificado | |
| DCF-F-CFS0055-E | 04/21 | English | Word | Incident Report - Regulated Child Care Centers |
| DCF-F-CFS0055 | 04/21 | English | Incident Report - Regulated Child Care Centers | |
| DCF-F-CFS0061-E | 10/19 | English | Word | Intake for Child Under 2 Years - Child Care Centers |
| DCF-F-CFS0061 | 10/19 | English | Intake for Child Under 2 Years - Child Care Centers | |
| DCF-F-CFS0061-S | 10/19 | Spanish | Admisión Para Niños Menores que 2 Años en Centros de Cuidado Infantil | |
| DCF-F-CFS0053A-E | 10/19 | English | Word | Staff Continuing Education Record - Regulated Child Care Centers |
| DCF-F-CFS0053A | 10/19 | English | Staff Continuing Education Record - Regulated Child Care Centers | |
| DCF-F-242-E | 10/19 | English | Word | Child Record Checklist Certified Child Care |
| DCF-F-242 | 10/19 | English | Child Record Checklist Certified Child Care | |
| 0-NA | 06/20 | English | Word | Policy Sample - Family Child Care Centers: Written policies worded for licensed providers, but the Word-fillable version can be modified to apply to certified providers. |
| 0-NA | 06/20 | English | Policy Sample - Family Child Care Centers: Written policies worded for licensed providers, but the Word-fillable version can be modified to apply to certified providers. | |
| DCF-P-5206 | 10/19 | English | Barred Offenses (Crimes Table) - Regulated Child Care | |
| DCF-F-0053A | 10/19 | English | Staff Continuing Education Record - Regulated Child Care Centers | |
| DCF-F-2114 | 10/19 | English | Continuing Education Record - Independent Reading/Video Viewing | |
| DCF-F-5224 | 12/17 | English | Word | Provider/Parent Written Payment Agreement |
| DCF-F-5224-S | 12/17 | Spanish | Word | Acuerdo de Pago Entre Proveedores/Padres |
| DCF-F-5296-E | 10/19 | English | Word | Background Check Request |
| DCF-F-5296-H | 10/19 | Hmong | Keeb Kwm Dhau Los Txheeb Xyuas Cov Lus Thov | |
| DCF-F-5296-S | 10/19 | Spanish | Solicitud de Verificacion de Antecendentes | |
| DCF-F-5383-E | 11/19 | English | Word | Driver Training Checklist - Child Care Centers |
| DCF-F-5383 | 11/19 | English | Driver Training Checklist - Child Care Centers | |
| DCF-P-503S | 10/19 | Spanish | Cuidado Infantil: ¿es legal? | |
| DCF-P-503 | 10/19 | English | Your Child Care - Is it Legal? | |
| DCF-F-0104 | 06/21 | English | Alternate Arrival/Release Agreement - Child Care Centers | |
| DCF-F-5596 | 02/23 | English | Word | Staff Orientation Checklist - Certified Family Child Care Centers |