Child Care Center, Preschool & Head Start

Supplemental Forms in Application Packet

  1. CCL 002 Background and Registry Check (PDF)
  2. CCL 002 Background and Registry Check Spanish (PDF)
  3. CCL 002a CCC-PS-HS Affiliate Roles (PDF)
  4. CCL 002a CCC-PS-HS Affiliate Roles Spanish (PDF)
  5. CCL 005 Yearly Mechanical Safety Check (PDF)
  6. CCL 005 Yearly Mechanical Safety Check Spanish (PDF)
  7. CCL 009 Health Assessment, 16 and Older (PDF)
  8. CCL 009 Health Assessment, 16 and Older Spanish (PDF)
  9. CCL 010 Authorization for Emergency Medical Care (PDF)
  10. CCL 010 Authorization for Emergency Medical Care Spanish (PDF)
  11. CCL 026 Short-Term Medication Authorization (PDF)
  12. CCL 026 Short-Term Medication Authorization Spanish (PDF)
  13. CCL 027 Long-Term Medication Authorization (PDF)
  14. CCL 027 Long-Term Medication Authorization Spanish (PDF)
  15. CCL 029 and 029a Child Medical Record, Immunization History, and Health Assessment (PDF)
  16. CCL 029 and 029a Child Medical Record, Immunization History, and Health Assessment Spanish (PDF)
  17. CCL 034 Parental Permission, Off-Premise Trips (PDF)
  18. CCL 034 Parental Permission, Off-Premise Trips Spanish (PDF)
  19. CCL 035 Parental Permission, Off-Premise, Group Trips (PDF)
  20. CCL 035 Parental Permission, Off-Premise, Group Trips Spanish (PDF)
  21. CCL 207 Record of Observations (PDF)
  22. CCL 307a Instructions for Completing CCL 307 (PDF)
  23. CCL 307a Instructions for Completing CCL 307 Spanish (PDF)
  24. CCL 307 Application for Program Director Approval (PDF)
  25. CCL 307 Application for Program Director Approval Spanish (PDF)
  26. CCL 203 Child Care Centers Self-Audit Survey Tool (PDF)
  27. CCL 203 Preschool Self-Audit Survey Tool (PDF)