Family Child Care Home (FCC) Registration Forms
Application Forms and Instructions for FCC:
- DOE Form 14 Child’s Health Record (or comparable documentation)
- DHS 908 Early Childhood Pre-K Health Record Supplement (rev 9/15)
- not required for entry into the FCC, but highly recommended for all children submitting DOE Form 14
- DHS 908A Instructions for DHS 908_(rev 9/15)
- DHS 948 Authorization for Background Check and to Release Information (fillable .pdf)
- DHS 948A Instructions
- DHS 948B Non-Criminal Justice Applicant Privacy Rights
- DHS 959 Employment History Form
- DHS 959A Self-Certification of Employment
- DHS 958 Instructions for Employment History Clearance
- DHS 961A Instructions for Background Checks Oahu
- DHS 961D Instructions for Background Checks Neighbor Island
- DHS 962 Synopsis of Criminal History Law Requirements
- DHS 982 Application for Certificate of Approval for Family Child Care (FCC)
- DHS 983 Supplement to FCC Application
- DHS 984 Medical Report (for applicants and adult household members)
- DHS 984A Instructions for the Medical Report Form for FCC
Other Registration Forms: