Quality Assurance Division

Child Care Licensing

Family / Group Renewal Application Packet

The following forms/ information are included in a Renewal Application Packet for Family / Group Facilities:

• Renewal Checklist (Print First)
• Renewal Application
• Application for Overlap Care
• Insurance Verification Form
• Fire Safety Record and Evacuation Plan
• Release of Information
• Statement of Health Form
• Background Check Instructions
• Out of State Background Checks
  • Release of Information for Fingerprints
• Tribal Background Checks

Additional Child Care Information

• Child/ Infant Child Care Regulations
• Provider Staff Role Types
• Family / Group Staff Master List
• Information Regarding Medication Administration in Child Care
• Sign In and Sign Out Form
  • Sign In and Sign Out Form Talking Points
• Resources
• Publications
• Policies

Renewal Applications that are received after the registration expiration date will have a lapse in registration.

All training and required forms must be completed by the registration expiration date or a lapse in registration certification will occur.

Renewal Applications that are not completed within 60 days of the registration expiration date will require a New Application to continue providing care.