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. Muaj ntau hom ntaub ntawv ua lus Hmoob. Nias rau ntawm tus xibxub (arrow) ntawm kem “Translation” yuav muab cov ntaub ntawv sib faib raws li nws hom lus. Ntaus Hmong rau hauv qhov chaw “Search” yuav sau cov ntaub ntawv uas txhais ua hom lus ntawd los xwb. Hay varios documentos disponibles en español. Al hacer clic en la flecha que figura en el título de la columna “Translation”, los documentos se clasificarán por idioma. Al ingresar Spanish en el campo “Search”, se mostrarán sólo los documentos que estén traducidos a ese idioma. Licensing Forms and Publications Number Dated Translation Type Title 0 - N/A 06/20 English PDF Policy Sample - Family Child Care Centers 0 - N/A 06/20 English Word Policy Sample - Family Child Care Centers 0 - N/A 09/24 English Word Policy Sample - Emergency Plan Regulated Child Care 0052 10/19 English PDF Vehicle Safety Inspection (DCF-F-CFS0052) 0053 02/23 English PDF Staff Record - Child Care Centers (DCF-F-CFS0053) 0053A 10/19 English PDF Staff Continuing Education Record - Child Care Centers (DCF-F-CFS0053A) 0053A-E 10/19 English Word Staff Continuing Education Record - Child Care Centers (DCF-F-CFS0053A-E) 0054 10/19 English PDF Staff Health Report - Licensed Child Care Centers (DCF-F-CFS0054) 0055 04/21 English PDF Incident Report - Regulated Child Care (DCF-F-CFS0055) 0055-E 04/21 English Word Incident Report - Regulated Child Care (DCF-F-CFS0055-E) 0056 02/23 English PDF Transportation Permission - Child Care Centers (DCF-F-CFS0056) 0056-E 02/23 English Word Transportation Permission - Child Care Centers (DCF-F-CFS0056-E) 0057 04/10 English PDF Informed Consent for Observation or Testing by an Outside Agency - Child Care Centers (DCF-F-CFS0057-E) 0058 09/21 English PDF Field Trip or Other Off-Premises Activity Notification/Permission - Child Care Centers (DCF-F-CFS0058) 0059 02/23 English PDF Authorization to Administer Medication - Child Care Centers (DCF-F-CFS0059) 0059-E 02/23 English Word Authorization to Administer Medication - Child Care Centers (DCF-F-CFS0059-E) 0059-S 04/20 Spanish PDF Authorización Para Administrar Medicacion – Centros de Cuidado de Infantil (DCF-F-CFS0059-S) 0060-E 09/21 English PDF Child Health Report - Child Care Centers (DCF-F-CFS0060-E) 0060-S 09/21 Spanish PDF Informe de Salud Infantil - Centros de Cuidado Infantil (DCF-F-CFS0060-S) 0061 03/23 English PDF Intake for Child Under 2 Years - Child Care Centers (DCF-F-CFS0061) 0061-E 03/23 English Word Intake for Child Under 2 Years - Child Care Centers (DCF-F-CFS0061-E) 0061-S 10/19 Spanish PDF Admision Para Niños Menores de 2 Años – Guarderias (DCF-F-CFS0061-S) 0062 12/14 English PDF Child Care Enrollment (DCF-F-CFS62) 0062-E 12/14 English Word Child Care Enrollment (DCF-F-CFS62-E) 0063 03/23 English PDF Licensing Checklist - Group Child Care Centers DCF 251 (DCF-F-CFS0063) 0066 12/19 English PDF Entry-Level Training Requirements - Group Child Care Centers (DCF-P-66) 0069 03/23 English PDF Licensing Checklist - Family Child Care Centers DCF 250 (DCF-F-CFS0069) 0070 03/23 English PDF Initial Licensing Checklist - Day Camps DCF 252 (DCF-F-CFS0070) 0078 02/23 English PDF Staff-to-Child Ratio Worksheet Group Child Care Centers (DCF-F-CFS0078) 0078-E 02/23 English Word Staff-to-Child Ratio Worksheet Group Child Care Centers (DCF-F-CFS0078-E) 0104-E 06/21 English PDF Alternate Arrival / Release Agreement - Child Care Centers (DCF-F-CFS0104-E) 0297 06/18 English PDF Exception Request (DCF-F-CFS0297) 0297-E 06/18 English Word Exception Request (DCF-F-CFS0297-E) 0369-E 03/11 English Word Confidential Information Release Authorization (DCF-F-369-E) 0369-S 03/11 Spanish Word Autorización Para Revelar Información Confidencial (DCF-F-369-S) 0460 03/23 English PDF Safety and Emergency Response Documentation - Family Child Care Centers (DCF-F-CFS0460) 0503 10/19 English PDF Your Child Care - Is It Legal? (DCF-P-PFS503) 0503-S 10/19 Spanish PDF Cuidado Infantil: ¿es Legal? (DCF-P-PFS503-S) 0543 10/19 English PDF Safety and Emergency Response Documentation - Group Child Care Centers (DCF-F-CFS0543) 0782 03/23 English Word Initial License Application - Day Camps for Children (DCF-F-CFS782-E) 1675 03/23 English PDF Child Record Checklist - Child Care Centers (DCF-F-CFS1675) 1675-E 03/23 English Word Child Record Checklist - Child Care Centers (DCF-F-CFS1675-E) 1675A 02/23 English PDF Staff Record Checklist - Group Child Care Centers (DCF-F-CFS1675A) 1675A 04/21 English Word Staff Record Checklist - Group Child Care Centers (DCF-F-CFS1675A-E) 2022 06/21 English PDF Ordering Information - Child Care Licensing Inquiry Packets (DCF-F-CFS2022) 2022 06/21 Spanish PDF Información de pedidos: paquetes de información sobre el otorgamiento de licensias para el cuidado infantil (DCF-F-CFS2022-S) 2026 02/23 English PDF Staff Orientation Checklist - Group Child Care Centers (DCF-F-CFS2026) 2026-E 02/23 English Word Staff Orientation Checklist - Group Child Care Centers (DCF-F-CFS2026-E) 2027 10/19 English PDF Volunteer Training Confirmation - Group Child Care Centers (DCF-F-CFS2027) 2048-E 02/23 English PDF Policy Checklist - Group Child Care Centers (DCF-F-CFS2048) 2048-S 06/20 Spanish PDF Lista de Verificación de la Política: Centros Grupales de Cuidado Infantil (DCF-F-CFS2048-S) 2051 02/23 English PDF Staff Record Checklist - Family Child Care Centers (DCF-F-CFS2051) 2114 02/23 English PDF Continuing Education Record - Independent Reading / Video Viewing (DCF-F-CFS2114) 2114-E 02/23 English Word Continuing Education Record - Independent Reading / Video Viewing (DCF-F-CFS2114-E) 2241 02/23 English PDF Initial Licensing Checklist - Family Child Care Centers (DCF-F-CFS2241) 2241-S 08/20 Spanish PDF Lista de Verificación de la Licencia Inicial: Centros de Cuidado Infantil Familiar (DCF-F-CFS2241-S) 2242 03/23 English PDF Initial Licensing Checklist - Group Child Care Centers (DCF-F-CFS2242) 2242-S 01/21 Spanish PDF Lista de Verificación de la Licencia Inicial: Centros Grupales de Cuidado Infantil (DCF-F-CFS2242-S) 2255 02/23 English PDF Staff Orientation Checklist - Family Child Care Centers (DCF-F-CFS2255) 2255-E 02/23 English Word Staff Orientation Checklist - Family Child Care Centers (DCF-F-CFS2255-E) 2255-S 10/19 Spanish PDF Lista de verificación orientativa para el personal - Centros de cuidado infantil familiar (DCF-F-CFS2255-S) 2344 02/23 English PDF Building Inspection Report - Licensed Child Care Centers (DCF-F-CFS2344) 2345 03/23 English PDF Health History and Emergency Care Plan (DCF-F-CFS2345) 2345-E 03/23 English Word Health History and Emergency Care Plan (DCF-F-CFS2345-E) 2345-S 10/19 Spanish PDF Historial de salud y plan de atención de emergencia (DCF-F-CFS2345-S) 2356-E 02/23 English PDF Policy Checklist - Family Child Care Centers (DCF-F-CFS2356) 2405 02/23 English PDF Pre-Camp Training Documentation - Day Camps (DCF-F-2405) 2405-E 02/23 English Word Pre-Camp Training Documentation - Day Camps (DCF-F-2405-E) 2409 02/23 English PDF Policy Checklist - Day Camps (DCF-F-2409) 2424 02/23 English PDF Counselor-to-Child Ratio Worksheet - Day Camps for Children (DCF-F-2424) 2424-E 02/23 English Word Counselor-to-Child Ratio Worksheet - Day Camps for Children (DCF-F-2424-E) 2436 02/23 English PDF Your Guide to Regulated Child Care - Summary of the Child Care Rules (DCF-P-2436) 2436-S 10/19 Spanish PDF Su guia para el cuidado infantil regulado - su resumen de las reglas del cuidado infantil (DCF-P-2436-S) 2438 02/23 English PDF Daily Attendance Record - Licensed Child Care Centers (DCF-F-2438) 2438-E 02/23 English Word Daily Attendance Record - Licensed Child Care Centers (DCF-F-2438-E) 2438-S 10/19 Spanish PDF Registro de asistencia diaria - Centros de cuidado infantil con licencia (DCF-F-2438-S) 2452 03/23 English PDF Child Record Checklist - Day Camps for Children (DCF-F-2452) 2452-E 03/23 English Word Child Record Checklist - Day Camps for Children (DCF-F-2452-E) 2453 12/20 English PDF Staff Record Checklist - Day Camps for Children (DCF-F-2453) 2453-E 12/20 English Word Staff Record Checklist - Day Camps for Children (DCF-F-2453-E) 2455 02/23 English PDF Counselor-to-Child Ratio While Swimming Worksheet - Day Camps for Children (DCF-F-2455) 2455-E 02/23 English Word Counselor-to-Child Ratio While Swimming Worksheet - Day Camps for Children (DCF-F-2455-E) 2456 12/19 English PDF Instructions for Obtaining Forms - Day Camps for Children (DCF-P-2456) 2465 10/19 English PDF Staff-to-Child Ratio While Swimming Worksheet - Group and Family Child Care (DCF-F-2465) 2562 11/19 English PDF Potential Barriers to Obtaining a Child Care Center License (DCF-P-2562) 2562-S 11/19 Spanish PDF Potenciales Impedimentos para la Obtención una Licencia para un Centro de Cuidado Infantil (DCF-P-2562-S) 2563 02/23 English PDF Email Subscription Service BECR (DCF-P-2563) 3038 03/23 English PDF Instructions for Obtaining Forms - Group & Family Child Care Centers (DCF-P-PFS3038) 3066 02/23 English PDF Procedure for Obtaining an Initial License to Operate a Group Child Care Center (DCF-P-PFS3066) 04020L 06/20 English PDF Student Immunization Record (DHS F-04020L) 4065 02/23 English PDF Procedure for Obtaining an Initial License to Operate a Day Camp for Children (DCF-P-PFS4065) 4066 02/23 English PDF Procedure for Obtaining an Initial License to Operate a Family Child Care Center (DCF-P-PFS4066) 4066-S 04/21 Spanish PDF Procedimiento de Obtención de una Licencia Inicial Para Dirigir un Centro de Cuidado Infantil Familiar (DCF-P-PFS4066-S) 4091 12/20 English PDF Entry-Level Non-Credit Courses for Licensed Child Care (DCF-P-PFS4091) 4099 04/21 English PDF Instructions for Obtaining Child Care Licensing Rule Books and Commentary Manuals 5154 03/23 English PDF Health and Safety Checklist - Public School Operated Programs (DCF-F-5154) 5206 10/19 English PDF Barred Offenses (Crimes Table) - Regulated Child Care (DCF-P-5206) 5209 02/23 English PDF Staff Record Checklist - Public School Operated Child Care (DCF-F-5209) 5296-E 10/19 English Word Background Check Request (DCF-F-5296-E) 5296-H 10/19 Hmong PDF Keeb Kwm Dhau Los Txheeb Xyuas Cov Lus Thov (DCF-F-5296-H) 5296-S 10/19 Spanish PDF Solicitud de Verificación de antecedents (DCF-F-5296-S) 5301 10/19 English PDF Background Check Checklist - Current Providers With New Employees (DCF-P-5301) 5317 07/19 English PDF Child Care Background Check Role Chart (DCF-P-5317) 5331 08/19 English Word Petition for Appeal of Ineligibility Determination (DCF-F-5331-E) 5363 12/19 English PDF Child Care Background Checks - Licensor Desk Aid 5363-S 12/19 Spanish PDF Verificaciones de antecedentes para cuidados infantiles - Servicio de asistencia para especialistas en licencias 5365 08/19 English PDF Child Care Background Check Attestation (DCF-F-5365) 5365-S 08/19 Spanish PDF Declaración de Verificación de Antecedentes para Cuidados Infantiles (DCF-F-5365-S) 5386 02/20 English PDF Portal Quick Reference Guide - CCPP and iChildCare (DCF-P-5386) 5396 06/20 English PDF Storing and Warming Infant Bottles and Food (DCF-P-5396) 5414 06/21 English PDF Required Items for Family Child Care Centers (DCF-P-5414) 5421 03/23 English PDF Required Items for Group Child Care Centers (DCF-P-5421) 5422 06/21 English PDF Required Items for Day Camps for Children (DCF-P-5422) 9 10/18 English PDF Request for Taxpayer Identification Number and Certification (IRS W-9) Instructions to complete the W-9 form 9 10/18 Spanish PDF Solicitud y Certificación del Número de Identificación del Contribuyente (IRS W-9) 44192 2/23 English PDF Child Care Immunization Record (DHS F-44192) 44192S 2/23 Spanish PDF Registro De Inmunizaciones Para Guardería Infantil (DHS F-44192S) 0062-H 12/14 Hmong PDF Ua Npe Zwm Rau Hauv Chaw Zov Me Nyuam (DCF-F-CFS0062-H) 0062-S 12/14 Spanish PDF Inscripción en el Servicio de Cuidado Infantil (DCF-F-CFS0062S) 3059 02/23 English PDF Bureau of Early Care Regulation Regional Office Information (DCF-P-PFS3059) 5185 03/23 English PDF Center Medication and Injury Log - Directions for Use (DCF-P-5185) 5185-S 10/19 Spanish PDF Registro de Lesiones y Medicamentos del Centro - Instrucciones de Uso (DCF-P-5185-S) 5201 02/23 English PDF Cleaning, Sanitizing, and Disinfecting in Child Care Settings (DCF-P-5201) 2587 06/19 English Word Wisconsin Shares Participation Contract (DCF-F-2587) 2587-S 06/19 Spanish Word Contrato de Participacion en Wisconsin Shares (DCF-F-2587) 5383-E 11/19 English Word Driver Training Checklist - Child Care Centers (DCF-F-5383-E) 5383 11/19 English PDF Driver Training Checklist - Child Care Centers (DCF-F-5383) 5476 09/21 English PDF Child Care Provider Portal and Background Check Tip Sheet (DCF-P-5476) 5778 06/24 English Word Policy Sample – Group Child Care Centers Instructions for Use (DCF-P-5778)
