Intake

Licensed Child Care Intake Forms

​​Child Care Service Intake Form (to be completed by child care supervisor)

Licensed Home Child Care Intake Form (to be completed by home child care supervisor or consultant/advisor)
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To fill out a form, you can download it on your computer and complete it by using Adobe Reader by clicking on the name of the form. Forms are identified with the **. Once the form has been completed, you can save it or print it and then send it to us via e-mail. Click here to download Adobe Reader for free.