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Tom Copeland
  CPSC Crib Information Center
DHS Licensing webpage
  DHS Question submission option
     
Relicensing Forms
Application 
MN Workers' Compensation Law Certificate of Compliance
Background Study
Training Record
DHS Checklist  
Staff Information form
Fire & Drill Log

    Forms for Enrollment
Activity Authorization Form 
Admissions & Arrangements form 
Immunization Form   
Liability Insurance Notice 
Permission to Administer Medication
Rule 9502 Summary Form for Parents

Infant Specific Forms

Alternative Sleep Position 
Parental Consent for Swaddling
Infant Under 6 Months Rolling Over

 
 
 
 
 
 
 
 
 
                  
General Information
Age Group Ratios  
Chickenpox Reporting Information 
Illness Exclusion Guidelines - For Providers
Reportable Disease Poster
Supervision- What Does This Mean to Providers
Too Sick for Daycare - Handout for Parents
Weather Watch Information Sheet
Training Requirements Spreadsheet
  General Forms
Accident Report Form
Chickenpox Reporting Form
Crib Inspection Form  
Did You Do..Tracking Form 
Floor & Escape Plan 
Physician Report Form
Variance Request Form
Mandated Reporter Written Report Form
Home Safety Checklist 
 
 
 
 
 
 
 
 

Resources for Difficult Conversations with Parents
Illinois Early Learning Project
Parent-Caregiver Communication in Child Care Settings
  Pools & Wading Pools
Wading Pools: The Risks in Daycares
Wading Pool Letter & Parent Consent
Parent Consent for Swimming Pools & Fact Sheet
 
 
 

 
Available Resources
Various resources are available to checkout from Human Services:  
Books:
  • Family Child Care: Record-Keeping Guide
  • Family Child Care: Legal and Insurance Guide
  • Family Child Care: Contracts and Policies
 
  • Well water test kits
  • Bite Bags?
  • Various pamphlets