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Child Day Care Regulation Forms
Form 1099, Operational Discipline and Guidance Policy Form 1100, Daily Buildings and Grounds Checklist Form 2550, Operational Policy on Infant Safe Sleep (English and Spanish) Form 2551, Licensed and Registered Home: Caregivers, Assistants, Substitutes and Household Members Information Record Form 2760, Controlling Person - Child Care Licensing (English and Spanish) Form 2885, Children's Products Certification Form 2911, Child Care Licensing Governing Body/Director Designation Form 2912, Pre-Employment Affidavit for Applicants for Employment at Certain Child Care Operations (English and Spanish) Form 2935, Admission Information (English and Spanish) Form 2937, Child Care Licensing Waiver/Variance Request Form 2940, Request for an Administrative Review (English and Spanish) Form 2941, Child Care Operation Sign-in/Sign-out Log Form 2947, Child Care Center Personnel Information Record Form 2962, Verification of Liability Insurance Form 2971, Child Care Licensing Request for Background Check (English and Spanish) 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 3019, Infant Sleep Exception/Health Care Professional Recommendation (English and Spanish) Form 4001, Renewal Application for Recognition of Day Care Administrator's Credential Program Form 7239, Incident/Illness Report (English and Spanish) Form 7240, Monthly Attendance Record Form 7243, Emergency Telephone Numbers Form 7250, Staff Training Record Form 7255, Medication Authorization (English and Spanish) Form 7259, Personnel Records Evaluation - Child Care Centers Form 7260, Children's Records Evaluation - Child Care Centers Form 7261, Center Records Evaluation Form 7263, Emergency Practices Form 7270, Children's Records Evaluation LCCH/RCCH Form 7271, Personnel Records Evaluation LCCH/RCCH Form 7277, Child Care Licensing Plan of Action Documents to Print for Public Display