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24-hour Residential Child Care Regulation Forms
Form 2405, Affidavit for Risk Evaluation by Child Placing Agency Form 2760, Controlling Person - Child Care Licensing (English and Spanish) Form 2819, Residential Child Care Licensing Governing Body/Administrator or Executive Director Designation Form 2906, Child Placing Agency Internal Investigation Report Form 2907, CCL Statement of Foster Parent and Child-Placing Agency Rights and Responsibilities Form 2912, Pre-Employment Affidavit for Applicants for Employment at Certain Child Care Operations (English and Spanish) Form 2937, Child Care Licensing Waiver/Variance Request Form 2940, Request for an Administrative Review (English and Spanish) Form 2954, Child Care Licensing Family Violence Calls Disclosure (English and Spanish) Form 2961, Request to Accept Children from Law Enforcement Form 2962, Verification of Liability Insurance Form 2963, Admission of a Child from a Law Enforcement Officer Form 2971, Child Care Licensing Request for Background Check Form 2974, Request for Risk Evaluation Based on Past Criminal History or Central Registry Findings Form 2974C, CPS Request for Risk Evaluation Based on Past Criminal History or Central Registry Findings for Foster/Adoptive Homes Form 2982, Personal History Statement Form 2985, Affidavit for Applicants for Employment with a Licensed Operation or Registered Child-Care Home (English and Spanish) Form 2997, Results of Public Hearing Form 3004, Family Foster Home Fire Safety Evaluation Checklist Form 3018, Administrator Licensing - Change in Contact Information Form 4003, Foster Family Home Capacity Exception Form 4004, Residential Child Care Licensing Environmental Health Checklist Form 7243, Emergency Telephone Numbers Form 7263, Emergency Practices Form 7277, Child Care Licensing Plan of Action Documents to Print for Public Display