Bureau of Child Care Licensing
Provider Forms
We have designed a wide variety of documents to help child care centers and group homes maintain compliance with current regulatory requirements. The list of forms is divided according to use; the first section lists forms that can be used by both centers and homes, and the next two sections are based more specifically on child care center and child care group home regulations.
Choose your area of interest from the list below to jump to that section of forms:
- Child Care Licensing and Group Home Certification
- Child Care Centers and Public Schools
- Child Care Group Home Certification
Child Care Licensing and Group Home Certification
- Abuse or Neglect Documentation Sheet
- Applicant, Staff and Resident report
- Arizona Statement of Citizenship and Alien Status
- Checklist for Training of New Staff Member (Updated 9/2011)
- Child's Sign-In and Sign-Out Sheet by Date
- Child's Sign-In and Sign-Out Sheet by Month
- Cleaning and Sanitation Guidelines
- Communicable Disease and Immunization Information
- Controlling Persons Guidelines
- Criminal History Affidavit (udpated 7/2012)
- Employee's Professional Reference Documentation
- Diaper Changing Log
- Diaper Changing Procedure Chart
- Emergency Information and Immunization Record Card (Updated 9/2011)
- Emergency Preparedness
- Employee Training Log
- Foreign Credentials Evaluation Agencies
- Helpful Telephone List for Child Care Providers
- Immunization Verification (udpated 3/2012)
- Individualized Plan (udpated 3/2012)
- Infant Feed Instructions (udpated 3/2012)
- Field Trip Permission Slip (udpated 3/2012)
- Fire Drill and Smoke Detector Battery Check Log (udpated 3/2012)
- Fingerprint Guidelines (update 03/12/2012)
- Fingerprint Clearance Card Update Form
- Log of Accident, Injury, Emergency, Illness, Infestation and Absence (update 3/2012)
- Meal Patterns (udpated 3/2012)
- Medication Consent Form (Updated 9/2011)
- Parent Alert Notice (udpated 3/2012)
- Poisoning Prevention
- Referral Notice of Inadequate Immunization (English and Spanish)
- Request for Exemption to Immunization (English and Spanish)
- Staff Immunization Record Card
- Statement of Deficiencies – A How-To Guide
- Toys and Equipment – Guidelines For Compliance
- Travel Permission Form
- Written Documentation of Corrections Instructions
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Child Care Centers and Public Schools
- Absences Due to Communicable Disease or Infestation
- Center Rules Instrument Checklist
- Center Rules Instrument (condensed)
- Evaluation of Staff
- Infant Daily Log
- New Facility Readiness Self Checklist (update 03/12/2012)
- Personnel Records Checklist (updated 03/12/2012)
- Posting of Notices (updated 03/12/2012)
- Public School Responsible Parties
- Recommended Accident, Evacuation and Emergency Plan (updated 03/12/2012)
- Retention Requirements
- Staff Qualification Guidelines
- Statement of Services Checklist
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Child Care Group Home Certification
- Child Care Group Home Rules Instrument Checklist
- Child Care Group Home (condensed) Checklist
- Child Care Group Home Swimming Pool Assessment Checklist
- Child Care Group Home Filing Requirements (Updated 9/2011)
- Group Home Retention Requirements
- Child Care Group Home Staff and Household Member Files (updated 03/12/2012)
- Child Care Group Home Staff/Volunteer Attendance (updated 03/12/2012)
- Child Care Group Home Evacuation Plan (updated 03/12/2012)
- Child Care Group Home Emergency Plan & Telephone Numbers (updated 3/2012)
- Child Care Group Home Medication Policy (updated 03/12/2012)
- Parent Handbook Outline (Updated 9/2011)
- Child Care Group Home Posting Form (updated 03/12/2012)
- Child Care Group Home Room Usage Report (updated 03/12/2012)
- Child Care Group Home Provider Qualifications
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Note: Information provided in PDF files, unless otherwise indicated.