New York Daycare and Child Care Forms

Daycare forms New York

Licensed/Registered Provider

We appreciate your interest in learning more about the application process to become a child day care provider. The application forms you can download from this site are sample forms only. Each type of child day care requires slightly different forms and information. Reviewing the sample forms at this website prior to requesting an “official” application package will assist you in determining which type of child day care you might be interested in pursuing.

You may request an official application package, which will be specifically tailored to your needs and include the identification number required for processing, by going to http://opal.gorr.state.ny.us

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Legally-Exempt Provider

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Local Department of Social Services

  • OCFS LDSS-7009S Notification de Sobrepago de Asistencia Para Cuidado Infantil y Requisitos de Devolucion
    (OCFS Word 104 KB)
  • OCFS-LDSS-4433 Medical Statement of Child in Childcare
    (OCFS-LDSS-4433 Word 163 KB) (OCFS-LDSS-4433 PDF 40 KB)
  • OCFS-LDSS-4779 Approval of Your Application for Child Care Benefits
    (OCFS-LDSS-4779 Word 85 KB)
  • OCFS-LDSS-4779S APROBACION DE SU SOLICITUD PARA BENEFICIOS DE CUIDADO DE NINOS
    (OCFS-LDSS-4779S Word 86 KB)
  • OCFS-LDSS-4780 DENIAL OF YOUR APPLICATION FOR CHILD CARE BENEFITS
    (OCFS-LDSS-4780 Word 67 KB)
  • OCFS-LDSS-4780S DENEGACION DE SU SOLICITUD PARA BENEFICIOS DE CUIDADO DE NINOS
    (OCFS-LDSS-4780S Word 69 KB)
  • OCFS-LDSS-4781 NOTICE OF INTENT TO CHANGE CHILD CARE BENEFITS
    (OCFS-LDSS-4781 Word 86 KB)
  • OCFS-LDSS-4781S NOTIFICACION SOBRE EL INTENTO DE CAMBIAR LOS BENEFICIOS DE CUIDADO DE NINOS
    (OCFS-LDSS-4781S Word 78 KB)
  • OCFS-LDSS-4782 NOTICE OF INTENT TO DISCONTINUE CHILD CARE BENEFITS
    (OCFS-LDSS-4782 Word 63 KB)
  • OCFS-LDSS-4782S NOTIFICACION SOBRE EL INTENTO DE DISCONTINUAR BENEFICIOS DE CUIDADO DE NINOS
    (OCFS-LDSS-4782S Word 66 KB)
  • OCFS-LDSS-7009 Notice of Child Care Assistance Overpayment and Repayment Requirements
    (OCFS-LDSS-7009 Word 88 KB) (OCFS-LDSS-7009 PDF 42 KB)
  • OCFS-LDSS-7009S Notificacion de Sobrepago de Asistencia Para Cuidado Infantil Y Requisitos de Devolucion
    (OCFS-LDSS-7009S Word 106 KB)
  • OCFS-LDSS-7010 Notice of Fraud Determination Disqualification for Child Care Benefits and Repayment Plan
    (OCFS-LDSS-7010 Word 102 KB) (OCFS-LDSS-7010 PDF 38 KB)
  • OCFS-LDSS-7010S Notificacion de Determinacion de Fraude Descalificacion Para Recibir Beneficios de Cuidado Infantil Y Plan de Devolucion de Pagos
    (OCFS-LDSS-7010S Word 125 KB)

Order Hard Copies of Forms

To order hard copies of available forms developed by the New York State Office of Children and Family Services (OCFS), complete the “Request for Forms and Publications” form (OCFS-4627) Microsoft Word – OCFS-4627 / Adobe PDF – OCFS-4627 and mail your request to:

OCFS Resource Distribution Center
11 Fourth Ave
Rensselaer, NY 12144-2629
OR
Call the Forms Hotline: 518-473-0971

More Daycare Resources

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