Forms
Child and Adult Care Food Program (CACFP)
- CACFP Child Enrollment Form (PDF)
- CACFP Healthy Infant Meal Pattern (PDF)
- CACFP Healthy Child Meal Pattern (PDF)
- CACFP Direct Deposit (PDF)
- CACFP Infant Formula Statement (PDF)
- CACFP KidKare Menus (PDF)
- CACFP Participant Meal Schedule (PDF)
- CACFP Holiday Attendance Form (PDF)
- CACFP USDA Nondiscrimination Statement
Regulated Provider Forms
Common Forms for Childcare: Looking for a different form or a different language visit: Office of Children and Family Services Child Care Forms
Children’s Records
- Individual Allergy and Anaphylactic Emergency Action Card
- Day Care Registration
- Child in Care Medical Statement
- Incident Report for Child Day Care
- Child Care Attendance ( M-F)
- Child Care Attendance (seven days)
- Notification of a Firearm, Shotgun, Rifle or Ammunition on the Premises
- Non- Medication Consent Form (Child Day Care Programs)
- Transportaion Consent Form
- Individual Allergy and Anaphylaxis Emergency Plan
- Individual Health Care Plan for a Child with Special Health Care Needs
- Log of Medication Administration
Program Forms
- Report of Suspected Child Abuse or Maltreatment
- Record of Evacuation Drills
- Schedule of Daily Program Activities- Child Care Programs
- Provider Notification of Licensing or Registration to Fire and Police or Sheriff Departments
- Staff, Volunteer and Household Member Medical Statement
- Notification of a Firearm, Shotgun, Rifle or Ammunition on the Premises of Child Care, Home Family and Group Family Day Care
- Record of Shelter in Place Drills
- Caregiver, Employee and Volunteer Attendance
- Visitor Log
- Emergency Plan G/FDC and Legally Exempt Informal Child Care
- Health Care Plan- School Age
- Heath Care Plan- Day Care Center
- Health Care Plan- Family and Group Family Day Care
Comprehensive Background Check Packets
Comprehensive Background Check Forms
- Statewide Central Register Database Check Form and Instructions for Completing the (DCCS version)
- Request for NYS Fingerprinting Services- Information Form
- Child Care Provider, Staff, Volunteer and Household Member Information
- Qualifications- Child Day Care Programs
- References-Child Day Care Programs
- Staff, Volunteer and Household Member Medical Statement
- Criminal Conviction Statement- Child Care Programs
- Request for Staff Exclusion List Check
RENEWAL Comprehensive Background Check (every five years)
- Statewide Central Register Database Check Form and Instructions for Completing the (DCCS version)
- Request for NYS Fingerprinting Services- Information Form
- Child Care Provider, Staff, Volunteer and Household Member Information
- Criminal Conviction Statement- Child Care Programs
- Criminal Conviction Statement- Child Care Programs
- Request for Staff Exclusion List Check
Forms Available Through the Council:( Please call or email)
- Sleeping Arrangements
- School Age Permission
- Infant Feeding Schedule
Subsidy
Legally Exempt
- OCFS-LDSS-4699 LE Enrollment FCC In Home Child Care
- Legally Exempt Enrollment Form Information and Instructions
- W-9
*For more forms please go to: https://ocfs.ny.gov/main/documents/docsChildCare.asp
Or call Susan Sennett at (845) 292-7166 X307
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