Child Care Center Licensing Forms
Application Forms and Instructions for Before & After School Child Care Facility (BAS), Group Child Care Center (GCC), Group Child Care Home (GCH), and Infant & Toddler Child Care Center (IT):
DHS 948 Authorization for Background Check and to Release Information (fillable .pdf)
DHS 948B Non-Criminal Justice Applicant Privacy Rights
DHS 951 Application for License to Operate a Group Child Care Center or Group Child Care Home
DHS 952 Statement of Operation Policies
DHS 953 Statement of Legal Authority
DHS 954 Child Care Center Staff and Volunteer Listing
DHS 958 Instructions for Employment History Clearance
DHS 959 Employment History Form
DHS 959A Self-Certification of Employment
DHS 961A Instructions for Background Checks Oahu
DHS 961D Instructions for Background Checks Neighbor Island
DHS 962 Synopsis of Criminal History Law Requirements
DHS 969 Child Care Licensing Self-Certification Form
Other Licensing Forms:
DOE Form 14 Child’s Health Record (or comparable documentation)
DHS 908 Early Childhood Pre-K Health Record Supplement (rev 9/15) (required for entry into the GCC, GCH, and IT)
DHS 908A Instructions for DHS 908_(rev 9/15)
DHS 950 Guide for GCC, GCH, BAS, IT Licensing
DHS 970 Reference Guide for Preschool Staff Qualifications
DHS 971 Reference Guide for Infant/Toddler Staff Qualifications
DHS 972 Reference Guide for Before/After School Care Staff Qualifications
DHS 974 A Notification of Change(s) Form (BAS, GCC, GCH, IT)
DHS 975 Request to Increase or Determine License Capacity and Agreement
DHS 975 A Instructions for DHS 975
DHS 984B Instructions for the Medical Report Form