Forms and Documents

Below are forms and documents for your inspections. The required forms are part of rule and cannot be changed. You can use the sample forms as they are or change them to meet your needs. If you change any of the sample forms, be sure they still contain all information required by rule. The Inspection Checklists are the ones used by licensors during inspections. A lot of providers use these checklists to conduct their own inspections and ensure their compliance with licensing rules. All forms have fillable fields and can be stored electronically.

Required Forms and Documents

• Affidavit of Lawful Presence in the United States opens in a new tab
• Background Check Form opens in a new tab
• Parent Guide opens in a new tab

Sample Forms and Other Documents

• Admission Agreement and Health Assessment opens in a new tab
• Contrato de Admisión & Evaluación de Salud del Niño opens in a new tab
• Approved Menus opens in a new tab
• Behavior Expectations and Positive Guidance opens in a new tab
• Diapering Procedures opens in a new tab
• Disaster Drill Log opens in a new tab
• Emergency Preparedness, Response, and Recovery Plan opens in a new tab
• Plan de Emergencias - Preparación, Respuesta, y Recuperación
• Fire Drill Log opens in a new tab
• Incident or Injury Report Form opens in a new tab
• Infant Daily Records - 5 Days opens in a new tab
• Infant Daily Records - 7 Days opens in a new tab
• Medication Form opens in a new tab
• Formulario de Permiso Para la Administración de Medicinas opens in a new tab
• Posting Emergency Numbers opens in a new tab
• Sign-In & Out - Daily
• Sign-In & Out - Monthly
• Training Form - Annual - Center and Hourly Center opens in a new tab
• Training Form - Preservice - Center and Hourly Center opens in a new tab

Inspection Checklist Documents

• Center Inspections opens in a new tab
• Fire Inspections opens in a new tab
• Kitchen Inspections
• General Inspections

Hourly Licensed Centers

Required Forms and Documents

• Affidavit of Lawful Presence in the United States opens in a new tab
• Background Check Form opens in a new tab
• Parent Guide opens in a new tab

Sample Forms and Other Documents

• Admission Agreement & Health Assessment opens in a new tab
• Contrato de Admisión & Evaluación de Salud del Niño opens in a new tab
• Approved Menus opens in a new tab
• Behavior Expectations and Positive Guidance opens in a new tab
• Diapering Procedures opens in a new tab
• Disaster Drill Log opens in a new tab
• Emergency Preparedness, Response, and Recovery Plan opens in a new tab
• Plan de Emergencias - Preparación, Respuesta, y Recuperación opens in a new tab
• Fire Drill Log opens in a new tab
• Incident or Injury Report Form opens in a new tab
• Infant Daily Records - 5 Days opens in a new tab
• Infant Daily Records - 7 Days opens in a new tab
• Medication Form opens in a new tab
• Formulario de Permiso Para la Administración de Medicinas opens in a new tab
• Posting Emergency Numbers opens in a new tab
• Sign-In & Out - Daily opens in a new tab
• Sign-In & Out - Monthly opens in a new tab
• Training Form - Annual - Center and Hourly Center opens in a new tab
• Training Form - Preservice - Center and Hourly Center opens in a new tab

Inspection Checklist Documents

• Hourly Center Inspections opens in a new tab
• Fire Inspections
• Kitchen Inspections opens in a new tab
• General Inspections opens in a new tab

Licensed Out of School Time Programs

Required Forms and Documents

• Affidavit of Lawful Presence in the United States opens in a new tab
• Background Check Form opens in a new tab
• Parent Guide opens in a new tab

Sample Forms and Other Documents

• Accident, Incident, or Injury Report opens in a new tab
• Admission Agreement and Health Assessment opens in a new tab
• Contrato de Admisión & Evaluación de Salud del Niño
• Approved Menus opens in a new tab
• Behavior Expectations and Positive Guidance opens in a new tab
• Diapering Procedures opens in a new tab
• Disaster Drill Log opens in a new tab
• Emergency Preparedness, Response, and Recovery Plan opens in a new tab
• Plan de Emergencias - Preparación, Respuesta, y Recuperación opens in a new tab
• Fire Drill Log opens in a new tab
• Incident or Injury Report Form opens in a new tab
• Infant Daily Records - 5 Days opens in a new tab
• Infant Daily Records - 7 Days opens in a new tab
• Medication Form opens in a new tab
• Formulario de Permiso Para la Administración de Medicinas opens in a new tab
• Posting Emergency Numbers opens in a new tab
• Sign-In & Out - Daily opens in a new tab
• Sign-In & Out - Monthly opens in a new tab
• Training Form - Annual - Out of School Time Program opens in a new tab
• Training Form - Preservice - Out of School Time Program opens in a new tab

Inspection Checklist Documents

• Out of School Time Program Inspections opens in a new tab
• Fire Inspections
• Kitchen Inspections opens in a new tab
• General Inspections opens in a new tab

Licensed Commercial Preschools

Required Forms and Documents

• Affidavit of Lawful Presence in the United States opens in a new tab
• Background Check Form opens in a new tab
• Parent Guide opens in a new tab

Sample Forms and Other Documents

• Admission Agreement & Health Assessment opens in a new tab
• Aceurdo de Admision / Evaluacion de Salud opens in a new tab
• Approved Menus opens in a new tab
• Behavior Expectations and Positive Guidance opens in a new tab
• Commercial Preschool Director Educational Credentials (teaching experience) opens in a new tab
• Diapering Procedures opens in a new tab
• Disaster Drill Log opens in a new tab
• Emergency Preparedness, Response, and Recovery Plan opens in a new tab
• Plan de Emergencias - Preparación, Respuesta, y Recuperación opens in a new tab
• Fire Drill Log opens in a new tab
• Incident or Injury Report Form opens in a new tab
• Infant Daily Records - 5 Days opens in a new tab
• Infant Daily Records - 7 Days opens in a new tab
• Medication Form opens in a new tab
• Formulario de Permiso Para la Administración de Medicinas opens in a new tab
• Posting Emergency Numbers opens in a new tab
• Sign-In & Out - Daily opens in a new tab
• Sign-In & Out - Monthly opens in a new tab
• Training Form - Annual - Commercial Preschool opens in a new tab
• Training Form - Preservice - Commercial Preschool opens in a new tab

Inspection Checklist Documents

• Commercial Preschool Inspections opens in a new tab
• Fire Inspections
• Kitchen Inspections opens in a new tab
• General Inspections opens in a new tab

Required Forms and Documents

• Affidavit of Lawful Presence in the United States opens in a new tab
• Background Check Form opens in a new tab
• Parent Guide opens in a new tab

Sample Forms and Other Documents

• Admission Agreement & Health Assessment opens in a new tab
• Contrato de Admisión & Evaluación de Salud del Niño/a opens in a new tab
• Approved Menus opens in a new tab
• Behavior Expectations and Positive Guidance opens in a new tab
• Daily Schedule opens in a new tab
• Diapering Procedures opens in a new tab
• Emergency Preparedness, Response, and Recovery Plan opens in a new tab
• Plan de Emergencias - Preparación, Respuesta, y Recuperación opens in a new tab
• Emergency Substitute Statement opens in a new tab
• Fire and Disaster Drill Log opens in a new tab
• Fire & Disaster Drill Log - Spanish opens in a new tab
• Incident or Injury Report Form opens in a new tab
• Medication Form opens in a new tab
• Formulario de Permiso Para la Administración de Medicinas opens in a new tab
• Posting Emergency Numbers opens in a new tab
• Sign-In & Out - Daily opens in a new tab
• Sign-In & Out - Monthly opens in a new tab
• Training Form - Annual - Licensed Family opens in a new tab
• Training Form - Preservice - Licensed Family opens in a new tab

Inspection Checklist Documents

• Licensed Family Inspections opens in a new tab
• Maximum Capacities opens in a new tab
• Fire Inspectionsopensinanewtab
• Kitchen Inspections opens in a new tab
• General Inspections opens in a new tab

Residential Certificate (RC)

Required Forms and Documents

• Affidavit of Lawful Presence in the United States opens in a new tab
• Background Check Form opens in a new tab opens in a new tab
• Parent Guide

Sample Forms and Other Documents

• Admission Agreement & Health Assessment opens in a new tab
• Contrato de Admisión & Evaluación de Salud del Niño/a opens in a new tab
• Approved Menus opens in a new tab
• Behavior Expectations and Positive Guidance opens in a new tab
• Daily Schedule opens in a new tab
• Diapering Procedures opens in a new tab
• Emergency Preparedness, Response, and Recovery Plan opens in a new tab
• Plan de Emergencias - Preparación, Respuesta, y Recuperación opens in a new tab
• Emergency Substitute Statement opens in a new tab
• Fire and Disaster Drill Log opens in a new tab
• Fire & Disaster Drill Log - Spanish opens in a new tab
• Incident or Injury Report Form opens in a new tab
• Medication Form opens in a new tab
• Formulario de Permiso Para la Administración de Medicinas opens in a new tab
• Posting Emergency Numbers opens in a new tab
• Sign-In & Out - Daily opens in a new tab
• Sign-In & Out - Monthly opens in a new tab
• Training Form - Annual - Residential Certificate opens in a new tab
• Training Form - Preservice - Residential Certificate opens in a new tab

Inspection Checklist Documents

• Residential Certificate Inspections opens in a new tab
• Maximum Capacities opens in a new tab
• Fire Inspections opens in a new tab
• Kitchen Inspections opens in a new tab
• General Inspections opens in a new tab

DWS Approved Family, Friend, and Neighbor (DWS FFN)

Required Forms and Documents

• Affidavit of Lawful Presence in the United States opens in a new tab
• Background Check Form opens in a new tab

Sample Forms and Other Documents

• Attendance Form - Monthly opens in a new tab
• Attendance Form - Monthly Before and After School opens in a new tab
• Emergency Preparedness, Response, and Recovery Plan opens in a new tab
• Plan de Emergencias - Preparación, Respuesta, y Recuperación opens in a new tab
• Fire and Disaster Drill Log opens in a new tab
• Ongoing Training opens in a new tab

Inspection Checklist Documents

• DWS FFN Inspections opens in a new tab
• DWS Approval General Inspections opens in a new tab

License Exempt DWS Approved (LE DWS) Facilities and Programs

Required Forms and Documents

• Background Check Form opens in a new tab
• License Exempt Notice opens in a new tab
• License Exempt Notice - Spanish opens in a new tab

Sample Forms and Other Documents

• Emergency Preparedness, Response, and Recovery Plan opens in a new tab
• Plan de Emergencias - Preparación, Respuesta, y Recuperación opens in a new tab
• Fire Evacuation and Disaster Drills opens in a new tab
• Ongoing Training opens in a new tab

Inspection Checklist Documents

• LE DWS Inspections opens in a new tab
• DWS Approval General Inspections opens in a new tab

Regulated License Exempt (LE) Facilities and Programs

Required Forms and Documents

• Background Check Form opens in a new tab
• License Exempt Notice opens in a new tab
• License Exempt Notice - Spanish opens in a new tab

Inspection Checklist Documents