Forms for BOTH Child Care Licensing and Group Home Certification

• Applicant, Staff and Resident report [PDF 14K]

• Arizona Statement of Citizenship and Alien Status [PDF 391K]

• Checklist for Training of New Staff Member [PDF 11K]

• Child's Sign-In and Sign-Out Sheet by Date [PDF 12K]

• Child's Sign-In and Sign-Out Sheet by Month [PDF 12K]

• Cleaning and Sanitation Guidelines [PDF 67K]

• Communicable Disease Reporting Requirements [PDF 24K]

• Controlling Persons Guidelines [PDF 9K]

• Controlling Persons Info [PDF 19K]

• Criminal History Affidavit [PDF 26K]

• Diaper Changing Log [PDF 11K]

• Diaper Changing Procedure Chart [PDF 46K]

• Documentation Sheet for Possible Abuse [PDF 35K]

• Emergency Information and Immunization Record Card [PDF 117K]

• Employee Training Log [PDF 11K]

• Helpful Telephone List for Child Care Providers [PDF 17K]

• Immunization Verification [PDF 6K]

• Individualized Plan [PDF 8K]

• Field Trip Permission Slip [PDF 15K]

• Field Trip Permission Slip - Bilingual [PDF 15K]

• Fire Drill and Smoke Detector Battery Check Log [PDF 32K]

• Fingerprint Guidelines [PDF 172K]

• Fingerprint Clearance Card Update Form [PDF 14K]

• Meal Pattern [PDF 19K]

• Medical Consent Form [PDF 21K]

• Medical Consent Form - Bilingual [PDF 24K]

• Menu Ideas [PDF 397K]

• Menu Planner For Children 1-12 Years [PDF 12K]

• Menu Planning Tips [PDF 47K]

• Nutrition Help [PDF 136K]

• Parent Alert Notice [PDF 9K]

• Poisonous Plants [PDF 49K]

• Referral Notice of Inadequate Immunization (English and Spanish) [PDF 25K]

• Request for Exemption to Immunization (English and Spanish) [PDF 23K]

• Staff Immunization Record Card [PDF 27K]

• Toys and Equipment - Guidelines For Compliance [PDF 12K]

• Written Documentation of Corrections Instructions and Chart [PDF 131K] is designed to help centers and group homes respond correctly to their Statement of Deficiencies".

Forms for Child Care Centers and Public Schools

• Absences Due to Communicable Disease or Infestation [PDF 12K]

• Center Rules Instrument Checklist [PDF 306K]

• Critical Areas Checklist [PDF 39K]

• Director Qualifications [PDF 145K]

• Employees' Reference Documentation [PDF 8K]

• Evaluation of Staff [PDF 12K]

• Infant Daily Log [PDF 11K]

• Infant Feeding Instructions [PDF 12K]

• Log of Illness or Infestation [PDF 13K]

• Log of Accident, Injury, Emergency, Illness, Infestation and Absence [PDF 12K]

• Log of Accident, Injury, Emergency Requiring Medical Treatment [PDF 12K]

• New Facility Readiness Self Checklist [PDF 36K]

• Personnel Records Checklist [PDF 24K]

• Posting of Notices [PDF 12K]

• Public School Responsible Parties [PDF 11K]

• Recommended Accident, Evacuation and Emergency Plan [PDF 8K]

• Retention Requirements [PDF 9K]

• Statement of Services Checklist [PDF 54K]

• Steps to T.B. Testing [PDF 9K]

Forms for Child Care Group Home Certification

• Child Care Group Home Rules Instrument Checklist [PDF 179K]

• Child Care Group Home Critical Areas Checklist [PDF 30K]

• Child Care Group Home Swimming Pool Assessment Checklist [PDF 46K]

• Files Needed for Group Homes [PDF 73K]

• Group Home Retention Requirements [PDF 8K]

• Child Care Group Home Staff and Household Member Files [PDF 131K]

• Employee's Professional Reference Documentation for Child Care Group Homes [PDF 8K]

• Child Care Group Home Staff/Volunteer Attendance [PDF 12K]

• Child Care Group Home Emergency Telephone Numbers [PDF 9K]

• Child Care Group Home Evacuation Plan [PDF 7K]

• Child Care Group Home Emergency Plan [PDF 54K]

• Child Care Group Home Documentation of Accident, Emergency or Serious Injury [PDF 11K]

• Child Care Group Home Medication Policy [PDF 8K]

• Child Care Group Home Posting Form [PDF 8K]

• Child Care Group Home Room Usage Report [PDF 32K]

• Notice of Change of Group Home Provider [PDF 81K]