Benefit, Employment & Support Services

For Group Child Care Center (GCC), Group Child Care Home (GCH), Infant & Toddler Child Care Center (IT), and Before & After School Child Care Facilities (BAS) Applicants:

• DHS 908 Early Childhood Pre-K Health Record Supplement
• DHS 908A Instructions for DHS 908
• DHS 948 Consent to Release for Background Clearances and Disposition of Findings
• DHS 948A Instructions for DHS 948
• DHS 950 Guide for GCC, GCH, BAS, IT Licensing
• DHS 951 GCC Application
• DHS 952 Statement of Operation Policies
• DHS 953 Statement of Legal Authority
• DHS 954 GCC Staff and Volunteer Listing
• DHS 957 Staff Sequence Form
• DHS 958 Instructions for Employment History Clearance
• DHS 959 Employment History Form
• DHS 959A Self-Certification of Employment
• DHS 961 Instructions for Criminal Check
• DHS 962 Criminal History Check Law
• DHS 969 Self-Certification Form
• DHS 970 Reference Guide for Preschool Staff
• DHS 971 Reference Guide for IT Staff
• DHS 972 Reference Guide for BAS Staff
• DHS 974A Notification of Change(s) Form (BAS, GCC, GCH, IT)
• DHS 975 Request to Increase or Determine License Capacity and Agreement
• DHS 975A Instructions for Requests to Increase or Determine License Capacity
• DHS 984 Medical Report
• DHS 984B Instructions for the Medical Report Form

For Family Child Care Home (FCC) Applicants:

• DHS 908 Early Childhood Pre-K Health Record Supplement
• DHS 908A Instructions for DHS 908

• DHS 948 Consent to Release for Background Clearances and Disposition of Findings
• DHS 948A Instructions for DHS 948
• DHS 958 Instructions for Employment History Clearance
• DHS 959 Employment History Form
• DHS 959A Self-Certification of Employment
• DHS 961 Instructions for Criminal Check
• DHS 962 Criminal History Check Law
• DHS 974 Notification of Change(s) Form (FCC)
• DHS 980 Guide for FCC Registration
• DHS 981 Do You Want to Operate a FCCH
• DHS 982 FCC Application
• DHS 983 Supplement to FCC Application
• DHS 984 Medical Report
• DHS 984A Instructions for the Medical Report Form for FCC