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Arizona Child Care Information for Providers Forms

• CHILD CARE CENTER INQUIRY PACKET
  For Providers: Use this packet to make inquiries regarding opening a child care center. (CCL PKT ? 127)
• CRIMINAL HISTORY AFFIDAVIT
  For Providers: Use this form to do a criminal background and fingerprint check on applicants or employees at you facility. (CCL form - 285)
• PERSONNEL RECORDS CHECKLIST
  For Providers: Use this form to ensure that all personnel records are in order. (CCL form - 256)
• APPLICANT, STAFF AND RESIDENT REPORT
  For Providers: Use this form to list all applicants and staff at your facility. (CCL-103)
• CHILDS SIGN-IN AND SIGN-OUT SHEET BY DATE
  For Providers: Use this form for keeping track of children's coming and going at your facility. (CCL form - 274)
• REQUEST TO AMEND LICENSE
  For Providers: Use this form to request any modifications to your license. (PKT - 124)
• DOCUMENTATION SHEET FOR POSSIBLE ABUSE/NEGLECT
  For Providers: Use this form to document any signs of possible abuse or neglect. (CCL form - 289)
• CHILDS SIGN-IN AND SIGN-OUT SHEET BY MONTH
  For Providers: Use this form for keeping track of children's coming and going at your facility. (CCL form - 275)
• DIAPER CHANGING LOG
  For Providers: Use this form to log when diapers are changed for an infant in your facility or care. (CCL form - 286)
• IMMUNIZATION VERIFICATION
  For Providers: Use this form to verify that your employees' immunizaztions are current. (CCL form - 298)

Click here to view general Child Care Information for Providers Forms