Montana Daycare and Child Care Forms
Quality Assurance Division
Child Care Licensing
Family/Group New Application Packet
http://www.dphhs.mt.gov/earlychildhood/familygroupnew.shtml
The following forms/information are included in a New Application Packet for Family/Group Facilities:
- New Family / Group Application Checklist (Print First)
- New Application (Family/Group)
- Application for Overlap Care
- W-9
- Insurance Verification Form
- Fire Safety Record and Evacuation Plan
- Menu Form
- Activity Schedule/Written Plan
- Floor Plan/Square Footage Report
- Release of Information
- Statement of Health Form
Additional Information for New Applicants:
Child/Infant Child Care Regulations
Family / Group Staff Master List
General Child Care Information
Information Regarding Medication Administration in Child Care
New Provider Pamphlet
Out of State Background Checks
Provider Staff Role Types
Tribal Background Checks
Egress Window Requirements
List of Forms
http://www.dphhs.mt.gov/earlychildhood/listofforms.shtml
- Accident / Injury Report
- Activity Schedule/Written Plan
- Center Staff Master List
- Change of Name/Address/Ages Application
- Change of Status Application
- Complaint Intake Form Directions
- Complaint Intake Form for Daycares
- Egress Window Requirements
- Emergency Contact Information
- Employee Cover Sheet
- Family / Group Staff Master List
- Fire Safety Record and Evacuation Plan
- Floor Plan/Square Footage Report
- Insurance Verification Form
- Medication Administration Log
- Medication Authorization Form
- Medication Error/Incident Report
- Menu Form
- New Application (Center)
- New Application (Family/Group)
- Non_Ingestible OTC Medication Authorization
- Overlap Care
- Pediatric Health Statement
- Provider Staff Role Types
- Release of Information
- Renewal Application (Center)
- Renewal Application (Family/Group)
- Sample Infant Feeding Schedule
- Special Needs Heath Care Plan
- Statement of Health Form
- W-9
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