Family / Group New Application Packet

In order to be more efficient in our processes and serve you better, the department will no longer accept incomplete paperwork.  Most of the forms have been simplified.

Application

• New Application
• Renewal Application
• Overlap Care Application

Forms

• Insurance Verification Form
• Attestation Form
• Fire Safety Record and Evacuation Plan
• Floor Plan/Square Footage Report
• Activity Schedule/Written Plan
• Menu Form
• Staff Master List Form
• Person Information Form
• Release of Information Form
• FBI Release of Information Form
• New Staff Checklist

Additional Information

• Provider Staff Role Types
• Emergency Disaster Plan
• Safe Sleep Training
• Sign In Sheet and Sign Out Sheet Talking Points
• Egress Window Requirements
• Sample Menu
• Outdoor Weather Guide
• Adult Immunization Requirements
• FBI Background Check Instruction
• Tribal Background Information

All Family/ Group New Application Packets need be submitted to: DPHHS/CCL

Attn: CCL
PO Box 4210
Helena MT 59620-4210
(406) 444-2012 / Fax : (406) 444-2750 or Email/ childcarelicensing@mt.gov