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Wyoming Child Care Information for Providers Forms

• Application for Child Care Certification
  For Providers. Use this form to apply for a child care license in accordance with the provisions of Wyoming statutes section 14-4-101 through section 14-4-111. Form CCL-100
• Change Request Form
  For Providers. Use this form to make changes to your license. Form CCL-100a
• Child Care Inspection Report
  For Providers. This form is used when the child care facility is self inspected. Form CCL-200
• Child Care Inspection Report Child Care Center
  For Providers. This form is used when the child care facility is self inspected. For child care centers. Form CCL-200a
• Child Care Inspection Report Family Child Care Center
  For Providers. This form is used when the child care facility is self inspected. For a family child care center. Form CCL-200b
• Child Care Inspection Report Family Child Care Home
  For Providers. This form is used when the child care facility is self inspected. For family child care homes. Form CCL-200c
• Staff Record Summary for Child Care
  For Providers. This form must be filled out for the provider/director and all staff and/or auxillary staff who are included in staff:child ratios. Form CCL-205
• Non-Staff Record Summary for Child Care
  For Providers. This form must be filled out for all volunteers, substitutes, staff, and/or adults living in the home who are not included in staff:child ratios. CCL-206
• Playground Safety Checklist for Child Care
  For Providers. This form is used when a child care facility's playground is inspected. Form CCL-604
• Staff Record Summary for Child Care
  For Providers. This form is used to report any injury to a child in a child care facility. Form CCL-605

Click here to view general Child Care Information for Providers Forms