Forms | Texas Health and Human Services

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ES = Spanish version available.

Form	Title
1099	Operational Discipline and Guidance Policy
1100	Daily Buildings and Grounds Checklist
2550	Operational Policy on Infant Safe Sleep	ES
2551	Licensed and Registered Home: Caregivers, Assistants, Substitutes and Household Members Information Record
2760	Controlling Person – Child Care Regulation	ES
2819	Residential Child Care Licensing Governing Body/Administrator or Executive Director Designation
2820	Educational Facility Request for Exemption from Child Care Regulation
2832	Single Skills Program During School Year Request for Exemption from Child Care Licensing Regulation
2833	Single Skills Program During Summer Request for Exemption from Child Care Licensing Regulation
2837	Governmental Entity Request for Exemption from Child Care Licensing Regulation
2838	Miscellaneous Entities Request from Child Care Licensing Regulation
2839	Program of Limited Duration Request for Exemption from Child Care Licensing Regulation
2841	Small Employer-Based Child Care or Temporary Shelter Child Care Facility Application
2881	Plan of Operation for School-Age Summer Program or Before/After School Program
2885	Children's Products Certification
2906	Child Placing Agency Internal Investigation Report
2907	CCL Statement of Foster Parent and Child-Placing Agency Rights and Responsibilities
2910	Application for a License or Certification to Operate a Child Day Care Facility
2911	Child Care Licensing Governing Body/Director Designation
2919	Request for a Registration Permit	ES
2935	Admission Information	ES
2937	Child Care Regulation Waiver/Variance Request
2940	Request for an Administrative Review	ES
2941	Child Care Operation Sign-in/Sign-out Log
2947	Child Care Center Personnel Information Record
2948	Plan of Operation for Licensed Center and Home Operations
2954	Child Care Licensing Family Violence Calls Disclosure	ES
2960	Application for a License to Operate a Residential Child Care Facility
2961	Request to Accept Children from Law Enforcement
2962	Verification of Liability Insurance
2963	Admission of a Child from a Law Enforcement Officer
2971	Child Care Licensing Request for Background Check	ES
2974	Request for Risk Evaluation Based on Past Criminal History or Central Registry Findings
2982	Personal History Statement
2985	Affidavit for Applicants for Employment with a Licensed Operation or Registered Child Care Home	ES
2986	Listing Permit Request	ES
2997	Results of Public Hearing
3004	Family Foster Home Fire Safety Evaluation Checklist
3014	Administrator License - Renewal or Status Change
3015	Application for a Child Care Administrator License or a Child-Placing Agency Administrator License
3016	Administrator Licensing - Reference for an Applicant
3017	Child Care Regulation Request for Background Checks for an Administrator's License
3018	Administrator Licensing - Change in Contact Information
3019	Infant Sleep Exception/Health Care Professional Recommendation	ES
4001	Renewal Application for Recognition of Day Care Administrator's Credential Program
4003	Foster Family Home Capacity Exception
4004	Residential Child Care Licensing Environmental Health Checklist
7239	Incident/Illness Report	ES
7240	Monthly Attendance Record
7243	Emergency Telephone Numbers
7250	Staff Training Record
7255	Medication Authorization	ES
7259	Personnel Records Evaluation - Child Care Centers
7260	Children's Records Evaluation - Child Care Centers
7261	Center Records Evaluation
7263	Emergency Practices
7270	Children's Records Evaluation LCCH/RCCH
7271	Personnel Records Evaluation LCCH/RCCH
7277	Child Care Licensing Plan of Action