Alliance Public Services, Inc.

FORMS

Below are important forms that you may download and print out.

Day Care Homes Licensing Forms

Minimum Standards for Child Care Homes (English)

Minimum Standards for Child Care Homes (Spanish)

Minimum Standards for Child Care Homes (Vietnamese)

Affidavit for Applicants (English)

Affidavit for Applicants (Spanish)

Authorization for Dispensing Medication

Caregiver and Parent Agreement

Child Admission Form (English)

Child Admission Form (Spanish)

Child Assessment Form

Contact Change Form

Controlling Person Form

Daily Building & Ground Checklist

Discipline & Guidance

Emergency Telephone Numbers

Fire Safety Practices

Incident and Illness Report

Information on Health Checks

Keeping Kids Safe (English)

Keeping Kids Safe (Spanish)

Licensed Child Care Fee Form

Parent Notification Poster

Personal History Statement

Registered Child Care Fee Form

Reporting Child Abuse

Request for Background Check/Fingerprint Form

Sign In / Sign Out Log

Center Time Distribution Form

Daily Meal Production - Child Menu

Daily Meal Production - Infant Menu

Enrollment Form

CACFP Infant Feeding Preference Form

CACFP Meal Benefit Income Eligibility Form

Receipt for Wages Paid for Food Program Funds

Miscellaneous Forms

Child Care Receipt

Emergency Supplies List (English)

Emergency Supplies List (Chinese)

Emergency Supplies List (Spanish)

Emergency Supplies List (Vietnamese)

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