This form is intended only for businesses or higher education entities that want to request background checks on their employees (ex: bus drivers, substitute teachers) or students prior to working at or being placed in a child care program through the Child Care Provider Portal (CCPP) . Prospective child care providers should follow the process outlined on the Starting a Licensed Child Care page if they wish to become regulated.

You need a provider number in order to gain access to the Child Care Provider Portal (CCPP) and submit requests for background checks. Fill out this form to obtain a provider number.

Please note: Some higher education entities may already have a provider number because they operate a licensed child care program. You will use the same provider number, but will need a new location number to request background checks for students placed at other child care centers for their practicum. Please fill out this form to obtain a new location number for your program. Do not use the licensed child care program's CCPP account information to submit background check requests for practicum students.