Wisconsin Department of Children and Families

Protecting Children, Strengthening Families, Building Communities

 

 

Child Care Licensing Forms & Publications

There are many forms and publications to help child care providers run a child care business in Wisconsin. From policy samples to incident reports, enrollment forms, background checklists, and more, you'll find a variety of resources to help you.

 

Licensing Forms and Publications
Number Dated Translation Type Title
0 - N/A  08/12 English PDF Policy Sample - Family Child Care Centers
0 - N/A 08/12 English Word Policy Sample - Family Child Care Centers
0052 12/08 English PDF Vehicle Safety Inspection (DCF-F-CFS0052)
0053 08/12 English PDF Staff Record - Child Care Centers (DCF-F-CFS0053)
0053-A 05/16 English PDF Staff Continuing Education Record - Child Care Centers (DCF-F-CFS0053A)
0053-A 05/16 English Word Staff Continuing Education Record - Child Care Centers (DCF-F-CFS0053A)
0054 03/15 English PDF Staff Health Report - Licensed Child Care Centers (DCF-F-CFS0054)
0055 12/16 English PDF Incident Report - Regulated Child Care (DCF-F-CFS0055)
0055 12/16 English Word Incident Report - Regulated Child Care (DCF-F-CFS0055)
0056 12/08 English PDF Transportation Permission - Child Care Centers (DCF-F-CFS0056)
0056 12/08 English Word Transportation Permission - Child Care Centers (DCF-F-CFS0056)
0057-E 04/10 English PDF Informed Consent for Observation or Testing by an Outside Agency - Child Care Centers (DCF-F-CFS0057-E)
0058 02/09 English PDF Field Trip or Other Activity Notification/Permission - Child Care Centers (DCF-F-CFS0058)
0058 02/09 English Word Field Trip or Other Activity Notification/Permission - Child Care Centers (DCF-F-CFS0058)
0059-E 08/10 English PDF Authorization to Administer Medication - Child Care Centers (DCF-F-CFS0059-E)
0059-E 08/10 English Word Authorization to Administer Medication - Child Care Centers (DCF-F-CFS0059-E)
0060 07/13 English PDF Child Health Report - Child Care Centers (DCF-F-CFS0060)
0060 07/13 English Word Child Health Report - Child Care Centers (DCF-F-CFS0060)
0061-E 01/09 English PDF Intake for Child Under 2 Years - Child Care Centers (DCF-F-CFS0061-E)
0061-E 01/09 English Word Intake for Child Under 2 Years - Child Care Centers (DCF-F-CFS0061-E)
0062 12/14 English PDF Child Care Enrollment (DCF-F-CFS62)
0062 12/14 English Word Child Care Enrollment (DCF-F-CFS62)
0063 10/12 English PDF Licensing Checklist - Group Child Care Centers DCF 251 (DCF-F-CFS0063)
0065 03/15 English N/A Initial License Application - Group Child Care Centers (DCF-F-CFS0065)
0066 04/13 English PDF Entry-Level Training Requirements as of January 1, 2009 - Group Child Care Centers (DCF-P-0066)
0067 05/14 English N/A Initial License Application - Family Child Care Centers (DCF-F-CFS0067)
0069 02/13 English PDF Licensing Checklist - Family Child Care Centers DCF 250 (DCF-F-CFS0069)
0070 06/09 English PDF Licensing Checklist - Day Camps (DCF-F-CFS0070)
0078 09/13 English PDF Staff-to-Child Ratio Worksheet Group Child Care Centers (DCF-F-CFS0078)
0078 09/13 English Word Staff-to-Child Ratio Worksheet Group Child Care Centers (DCF-F-CFS0078)
0101 04/17 English PDF It Shouldn't Hurt to be a Child (DCF-P-PFS0101)
0104-E 09/09 English PDF Alternate Arrival / Release Agreement - Child Care Centers (DCF-F-CFS0104-E)
0104-E 09/09 English Word Alternate Arrival / Release Agreement - Child Care Centers (DCF-F-CFS0104-E)
0297-E 03/14 English PDF Exception Request (DCF-F-CFS0297-E)
0297-E 03/14 English Word Exception Request (DCF-F-CFS0297-E)
0460 04/12 English PDF Safety and Emergency Response Documentation - Family Child Care Centers (DCF-F-CFS460)
0503 09/11 English PDF Your Child Care - Is It Legal? (DCF-P-PFS503)
0543 09/13 English PDF Safety and Emergency Response Documentation - Group Child Care Centers (DCF-F-CFS0543)
0602 09/17 English PDF Applicant/Licensee Rights and Responsibilities (DCF-P-PFS0602)
0782 03/09 English N/A Initial License Application - Day Camps for Children (DCF-F-CFS0782)
1675 12/12 English PDF Child Record Checklist - Child Care Centers (DCF-F-CFS1675)
1675 12/12 English Word Child Record Checklist - Child Care Centers (DCF-F-CFS1675)
1675-A 03/15 English PDF Staff Record Checklist - Group Child Care Centers (DCF-F-CFS1675A)
2022 04/12 English PDF Ordering Information - Inquiry Packets (DCF-F-CFS2022)
2026 04/09 English PDF Staff Orientation Checklist - Group Child Care Centers (DCF-F-CFS2026)
2026 04/09 English Word Staff Orientation Checklist - Group Child Care Centers (DCF-F-CFS2026)
2027 06/09 English PDF Volunteer Training Confirmation - Group Child Care Centers (DCF-F-CFS2027)
2048 08/16 English PDF Policy Checklist - Group Child Care Centers (DCF-F-CFS2048)
2051 04/15 English PDF Staff Record Checklist - Family Child Care Centers (DCF-F-CFS2051)
2114 04/13 English PDF Continuing Education Record - Independent Reading / Video Viewing (DCF-F-CFS2114)
2114 04/13 English Word Continuing Education Record - Independent Reading / Video Viewing (DCF-F-CFS2114)
2241 06/17 English PDF Initial Licensing Checklist - Family Child Care Centers (DCF-F-CFS2241)
2241 06/17 English Word Initial Licensing Checklist - Family Child Care Centers (DCF-F-CFS2241)
2242 12/12 English PDF Initial Licensing Checklist - Group Child Care Centers (DCF-F-CFS2242)
2255 05/12 English PDF Staff Orientation Checklist - Family Child Care Centers (DCF-F-CFS2255)
2255 05/12 English Word Staff Orientation Checklist - Family Child Care Centers (DCF-F-CFS2255)
2261-E 12/16 English PDF Caregiver Background Checks Substantially Related Investigation Report (DCF-F-CFS2261-E)
2261-E 12/16 English Word Caregiver Background Checks Substantially Related Investigation Report (DCF-F-CFS2261-E)
2344 12/12 English PDF Building Inspection Report - Child Care Centers (DCF-F-CFS2344)
2345 03/09 English PDF Health History and Emergency Care Plan (DCF-F-CFS2345)
2345 03/09 English Word Health History and Emergency Care Plan (DCF-F-CFS2345)
2356 08/12 English PDF Policy Checklist - Family Child Care Centers (DCF-F-CFS2356)
2405 04/09 English PDF Pre-Camp Training Documentation - Day Camps (DCF-F-2405)
2405 04/09 English Word Pre-Camp Training Documentation - Day Camps (DCF-F-2405)
2409 03/09 English PDF Policy Checklist - Day Camps (DCF-F-2409)
2424 04/09 English PDF Counselor-to-Child Ratio Worksheet - Day Camps for Children (DCF-F-2424)
2424 04/09 English Word Counselor-to-Child Ratio Worksheet - Day Camps for Children (DCF-F-2424)
2436 07/17 English PDF Your Guide to Regulated Child Care (DCF-P-2436)
2438 01/09 English PDF Daily Attendance Record - Child Care Centers (DCF-F-CFS2438)
2438 01/09 English Word Daily Attendance Record - Child Care Centers (DCF-F-CFS2438)
2452 04/09 English PDF Child Record Checklist - Day Camps for Children (DCF-F-2452)
2452 04/09 English Word Child Record Checklist - Day Camps for Children (DCF-F-2452)
2453 04/12 English PDF Staff Record Checklist - Day Camps for Children (DCF-F-2453)
2453 04/12 English Word Staff Record Checklist - Day Camps for Children (DCF-F-2453)
2455 04/09 English PDF Counselor-to-Child Ratio While Swimming Worksheet - Day Camps for Children (DCF-F-2455)
2455 04/09 English Word Counselor-to-Child Ratio While Swimming Worksheet - Day Camps for Children (DCF-F-2455)
2456 10/13 English PDF Instructions for Obtaining Forms - Day Camps for Children DCF-P-2456)
2465 08/09 English PDF Staff-to-Child Ratio While Swimming Worksheet - Group and Family Child Care (DCF-F-2465)
2541-E 02/14 English Word Household Members & Minor Caregivers - Licensed Child Care Centers and Day Camps (DCF-F-2541-E)
2562 05/16 English PDF Potential Barriers to Obtaining a Child Care Center License (DCF-P-2562)
2563 11/16 English PDF Email Subscription Service BECR (DCF-P-2563)
3038 06/17 English PDF Instructions for Obtaining Forms - Group & Family Child Care Centers (DCF-P-PFS3038)
3066 08/10 English PDF Procedure for Obtaining an Initial License to Operate a Group Child Care Center (DCF-P-PFS3066)
4020-L 06/17 English PDF Student Immunization Record (DPH-4020L)
4065 05/10 English PDF Procedure for Obtaining an Initial License to Operate a Day Camp for Children (DCF-P-PFS4065)
4066 10/10 English PDF Procedure for Obtaining an Initial License to Operate a Family Child Care Center (DCF-P-PFS4066)
4088 04/10 English PDF Use of 10+ Passenger Vans To Transport Children To and From Schools (DCF-P-PFS4088)
4091 06/12 English PDF Entry-Level Non-Credit Courses for Licensed Child Care (DCF-P-PFS4091)
4099 05/17 English PDF Instructions for Obtaining Licensing Rule Books, Annotated Rule Books and Commentary Manuals (DCF-F-4099)
6448 11/12 English Word Taxpayer Identification Number (TIN) Verification - Substitute W-9 (DOA-6448)
44192 09/08 English PDF Day Care Immunization Record (F-44192)
2978 06/16 English Word Background Information Disclosure (DCF-F-2978)
0053-H 08/12 Hmong PDF Neeg Ua Hauj Lwm Cov Ntaub Ntawv Khaw Cia – Cov Chaw Zov Me Nyuam (DCF-F-CFS0053-H)
0059-E-H 08/10 Hmong PDF Ntawv Tso Cai Muab Tshuaj Rau Me Nyuam Noj – Chaw Zov Me Nyuam (DCF-F-CFS0059-E-H)
0060-E-H 07/13

Hmong

PDF Qhia Paub Txog Me Nyuam Kev Noj Qab Haus Huv – Cov Chaw Zov Me Nyuam (DCF-F-CFS0060-E-H)
0061-H 01/09 Hmong PDF Ntaub Ntawv Teev Cia Rau Tus Me Nyuam Tsis Tau Muaj 2 Xyoos - Cov Chaw Zov Me Nyuam (DCF-F-CFS0061-H)
0062-H 12/14 Hmong PDF Ua Npe Zwm Rau Hauv Chaw Zov Me Nyuam (DCF-F-CFS0062H)
0065-H 03/15 Hmong N/A Thawj Dian Ntawv Thov Ntawv Tso Cia - Cov Shaw Zov Me Nyuam Pab Pawg (DCF-F-CFS0065H)
0067-H 05/14 Hmong N/A Thawj Dian Ntawv Thov Ntawv Tso Cai - Cov Chaw Zov Me Nyuam Hauv Tsev (DCF-F-CFS0067H)
0101-H 04/17 Hmong PDF  Ua ib tus me nyuam nws yeej tsis tsim nyog mob (DCF-P-PFS0101-H)
0503-H 09/11 Hmong PDF Qhov Zov Me Nyuam Rau Koj - Puas Raws Cai? (DCF-P-PFS503-H)
0602-H 11/10 Hmong PDF Tus Ua Ntawv Thov/Tus Tau Ntawv Pov Thawj Cov Cai Thiab Cov Luag Hauj Lwm (DCF-P-PFS0602-H)
2255- H 05/12 Hmong PDF Kev Cob Qhia Rau Cov Neeg Ua Hauj Lwm – Cov Chaw Zov Me Nyuam Hauv Tsev (DCF-F-CFS2255-H)
2345-H 03/09 Hmong PDF Keeb Kwm Kev Mob Nkeeg Thiab Lub Tswv Yim Daim Phiaj Npaj Rau Kev Kho Mob Kub Ceev (DCF-F-CFS2345-H)
2356-H 08/12 Hmong PDF Cov Cai Daim Ntawv Txheeb Ntaub Ntawv – Cov Chaw Zov Me Nyuam Hauv Tsev (DCF-F-CFS2356-H)
2436-H 07/17 Hmong PDF Koj Cov Lus Qhia Rau Kev Zov Me Nyuam Muaj Txoj Cia Tswj (DCF-P-2436-H)
2541-H 02/14 Hmong PDF Cov Neeg Hauv Tsev Neeg Thaib Cov Hluas Zov Menyuam - Cov Muaj Ntawv Tso Cai Zov Menyuam Hauv Tsev (DCF-F-2541-H)
2562-H 05/16 Hmong PDF Cov Teeb Meem Muaj Feem Ua Qhov Tseeb Uas Yuav Los Thaiv Kev Ua Kom Tau Daim Ntawv Tso Cai Rau Qhov Chaw Zov Me Nyuam (DCF-P-2562-H)
2978-E-H 06/16 Hmong Word Daim Ntawv Qhia Tawm Kom Paub Keeb Kwm Yav Dhau Los (DCF-F-2978-E-H)
4066-H 10/10 Hmong PDF Txoj Kev Ua Kom Tau Ib Daim Ntavw Tso Cai Los Qheb Ib Chav Zov Menyuam Hauv Tsev (DCF-P-PFS4066)
4091-H 06/12 Hmong PDF Qib Qis Tsis-Tau Credit Cov Kev Kawm rau Cov Chaw Zov Me Nyuam Muaj Ntawv Tso Cai (DCF-P-PFS4091-H)
0059-E-R 08/10 Russian PDF РАЗРЕШЕНИЕ НА ПРИМЕНЕНИЕ ЛЕКАРСТВЕННОГО СРЕДСТВА — ДЕТСКИЕ САДЫ (DCF-F-CFS0059-E-R)
0061-R 01/09 Russian PDF ИНФОРМАЦИЯ, НЕОБХОДИМАЯ ДЛЯ ПРИЕМА РЕБЕНКА ДО 2 ЛЕТ - ЦЕНТРЫ ПО УХОДУ ЗА ДЕТЬМИ (DCF-F-CFS0061-R)
0053-S 08/12 Spanish PDF Registros del Personal - Centros de Cuidado Infantil (DCF-F-CFS0053-S)
0059-E-S 08/10 Spanish PDF Authorización Para Administrar Medicamentos – Centros de Cuidado de Niños (DCF-F-0059-E-S)
0060-E-S 07/13 Spanish PDF Informe Médico del Niño – Guarderias (DCF-F-CFS0060-E-S)
0061-S 01/09 Spanish PDF Admision Para Niños Menores de 2 Años – Guarderias (DCF-F-CFS0061-S)
0062-S 12/14 Spanish PDF Inscripción en el Servicio de Cuidado Infantil (DCF-F-CFS0062S)
0065-S 03/15 Spanish N/A Solicitud de Licencia Inicial - Centros Grupales de Cuidado Infantil (DCF-F-CFS0065S)
0067-S 05/14 Spanish N/A Solicitud de Licencia Inicial - Centros de Cuidado Infantil Familiar (DCF-F-CFS0067S)
0101-S 04/17 Spanish PDF No deberia doler ser un niño (DCF-P-PFS0101-S)
0503-S 09/11 Spanish PDF Su programa de cuidado infantil - ¿ es legal? (DCF-P-PFS503-S)
0602-S 11/10

Spanish

PDF Solicitante/Licenciatario Derechos Y Responsabilidades (DCF-P-PFS0602-S)
2255-S 05/12 Spanish PDF Lista de control para la orientación del personal – Centros de Cuidado Infantil Familiar (DCF-F-CFS2255-S)
2345-S 03/09 Spanish PDF Historia Clínica Y Plan de Atención en Caso de Emergencia (DCF-F-CFS2345-S)
2356-S 08/12 Spanish PDF Lista de verificación de política – Centros de Cuidado Infantil Familiar (DCF-F-CFS2356-S)
2436-S 07/17 Spanish PDF Su guía para el cuidado infantil regulado (DCF-P-2436-S)
2541-S 02/14 Spanish PDF Miembros de la vivienda y cuidadores menores - Cuidado infantil familiar con licencia (DCF-F-2541-S)
2562-S 05/16 Spanish PDF Barreras Potenciales Para Obtener Una Licencia Para Un Centro De Cuidado Infantil (DCF-P-2562-S)
2978-E-S 06/16 Spanish Word Divulgación de Información de Antecedentes (DCF-F-2978-E-S)
4020-S 06/17 Spanish PDF Registro De Vacunas Del Estudiante (DPH-4020S)
4091-S 06/12 Spanish PDF Cursos sin crédito de nivel inicial para centros de cuidado infantil con licencia (DCF-P-PFS4091-S)
4066-S 10/10 Spanish PDF Procedimiento Para la Obtención de Una Licencia Inicial Para Operar un Centro de Cuidado Infantil Familiar (DCF-P-PFS4066)
44192-S 09/08 Spanish PDF Registro De Inmunizaciones Para Guardería Infantil (F-44192-S)
3059 05/17 English PDF Bureau of Early Care Regulation Regional Office Information (DCF-P-PFS3059)
5154 09/17 English PDF Health and Safety Checklist - License Exempt Programs - DCF 251 (DCF-F-5154)
4069 05/17 English PDF DCF 250 - Licensing Rules for Family Child Care Centers w/ Commentary (DCF-P-PFS4069)
4024 12/16 English PDF DCF 251 - Licensing Rules for Group Child Care Centers w/ Commentary (DCF-P-PFS4024)
2532 06/17 English PDF DCF 252 - Licensing Rules for Day Camps for Children w/ Commentary (DCF-P-2532)
5185 04/17 English PDF Center Medication and Injury Log - Directions for Use (DCF-P-5185)
5185-H 04/17 Hmong PDF Daim Ntawv Teev Kev Muab Tshuaj Thiab Raug Mob - Cov Lus Qhia Siv (DCF-P-5185-H)
5185-S 04/17 Spanish PDF Registro de Medicamentos y Lesiones Para Los Centros - Instrucciones de Uso (DCF-P-5185-S)
5202 09/17 English PDF DCF Approved Agencies Offering Non-Credit Courses (DCF-P-5202)
5201 07/17 English PDF Cleaning, Sanitizing, and Disinfecting in Child Care Settings (DCF-P-5201)
5206 07/17 English PDF Barred Offenses - Regulated Child Care (DCF-P-5206)
5209 08/17 English PDF Staff Record Checklist - License Exempt Child Care (DCF-F-5209)