Forms & Documents

Applications

You must attend orientation before submitting a licensing application.

Family Home or Child Care Center Application
School-Age Application

Capacity Increase/Change Planning Form

Child Care Agreement

Child Care Health Consultant Agreement

Child Care Health Consultant On-Site Report

Child Care Registration Form

School-Age
Family Home or Child Care Center

Child Injury/Incident Report

WAC 110-300-0475 requires family home providers and child care center providers to use this DCYF form when reporting certain injuries and incidents to the department. School-age providers may use this form, but WAC 110-305 does not require the use of it.

Chimney, Fireplace, Woodstove Use Statement

Daily Attendance Records

Emergency Child Care Waiver (Exception) Request - COVID-19

Employment/Volunteer Application

Family Home/Child Care Center - Feasibility Checklist

Family Home/Child Care Center - Initial Checklist (Example)

Family Home Liability Insurance Notice

Fire Safety

Fire Safety & Emergency Drills Form

WAC 110-300-0470(4) requires family home providers and child care center providers to use this DCYF form. School-age providers may use this form, but WAC 110-305 does not require use of this specific form.

Annual Fire Inspection - State Fire Marshal Form

WAC 110-300-0170 requires a family home provider and a child care center provider to arrange for a fire safety inspection annually.  If a local government agency is not available to conduct a fire safety inspection, the provider must inspect for fire safety using the State Fire Marshal form. School-age WAC 110-305 does not require this.

Immunizations

Certificate of Immunization Status Form
Certificate of Exemption

Individual Care Plan & Food Allergy Forms

Intent to Transfer License or Certification

Medication Log

Medication Authorization Form

No Social Security Card Declaration Form

Notification and Staffing Plan for Absence

Overnight Child Care Planning Form

Parental Notification Letters

Notice of Safe Sleep Non Compliance PDF
Probation Notification Letter

Parent-Guardian Permission Form

Provider Portal Support (contact info)

Report of Expelled Child Form

Request for Inactive Child Care Status

Sanitizer or Disinfectant Approval Request

School-Age Checklists

School-Age Full Checklist (Example)
School-Age Abbreviated Checklist (Example)

School-Age Program - Feasibility Checklist

School-Based and Military Certification for Payment-Only Request Form

Tribal Certification Request Letter

Water Safety

Licensing Guides

Licensed Child Care in Washington State: A Guide for Child Care Providers

An overview of the child care licensing process in Washington.

Licensing Action Information
Licensing Complaint Inspections
Licensing Compliance Agreements
Summary Suspensions and Revocations - information for child care providers
Summary Suspensions and Revocations - information for families
Hearing Request Form