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
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
Medication Log
Medication Authorization Form
No Social Security Card Declaration Form
Notice of Change of Management Staff
Notification and Staffing Plan for Absence
Overnight Child Care Planning Guide
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)
- English: PDF
School-Age Abbreviated Checklist (Example)
- English: PDF
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.