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Child Care Forms

New Forms

The forms in the table below are revised to align with 5/1/14 Family Day Care and Group Family Day Care regulations. Additional forms will be added as they are approved.

Sub-Category
Name
Number
Date
Licensed/Registered Provider
Notificación de un Arma de Fuego, Escopeta, Rifle o Munición en el Establecimiento de Cuidado Diurno Infantil
Notification of a Firearm, Shotgun, Rifle or Ammunition on the Premises of the Child Day Care Home
New document
OCFS-6006S
2014
Licensed/Registered Provider
Registro de Visitantes
Visitor Log
OCFS-6009S
2014
Licensed/Registered Provider
Parent Written Medication consent Form
OCFS-6010
2014
Licensed/Registered Provider
HEALTH CARE PLAN - Family Day Care - Group Family Day Care (WORD)
OCFS-LDSS-7021
2014
Licensed/Registered Provider
Written Medication Consent Form
LDSS-7002
2014
Licensed/Registered Provider
Verbal Medication Consent Form and Log of Administration
LDSS-7003
2014
Licensed/Registered Provider
Log of Medication Administration
LDSS-7004
2014
Licensed/Registered Provider
Medication Error Report Form
LDSS-7005
2014
Licensed/Registered Provider
Individual Health Care Plan for a Child with Special Health Care Needs
LDSS-7006
2014
Licensed/Registered Provider
Incident Report for Child Day Care
LDSS-4436
2014
Licensed/Registered Provider
Record of Evacuation Drills
LDSS-4439
2014
Licensed/Registered Provider
Record of Shelter in Place Drills
OCFS-6007
2014
Licensed/Registered Provider
Caregiver Employee Volunteer Attendance Form
OCFS-6008
2014
Licensed/Registered Provider
Visitor Log
OCFS-6009
2014
Licensed/Registered Provider
Child in Care Medical Statement
OCFS-4433
2014
Licensed/Registered Provider
Child Care Attendance Sheet
OCFS-4443
2014
Licensed/Registered Provider
CHILD DAY CARE PROGRAM TRAINING TRACKING CHART
OCFS-4879
2014
Licensed/Registered Provider
Individual Training Tracking
OCFS-4880
2014
Licensed/Registered Provider
Formulario de Seguimiento Individual
Individual Training Tracking
OCFS-4880S
2014
Licensed/Registered Provider
Request for Waiver
OCFS-4887
2014
Licensed/Registered Provider
CAREGIVER PACKET
FAMILY DAY CARE, GROUP FAMILY DAY CARE PROGRAMS AND SMALL DAY CARE CENTERS
OCFS-6000
2014
Licensed/Registered Provider
CAREGIVER INFORMATION
Family Day Care, Group Family Day Care Programs & Small Day Care Centers
OCFS-6001
2014
Licensed/Registered Provider
Información del Proveedor(a) de Cuidado
Caregiver Information
OCFS-6001S
2014
Licensed/Registered Provider
CAREGIVER QUALIFICATIONS
Family Day Care, Group Family Day Care Programs & Small Day Care Centers
OCFS-6002
2014
Licensed/Registered Provider
Calificaciones del Proveedor(a)
Caregiver Qualifications
OCFS-6002S
2014
Licensed/Registered Provider
CAREGIVER REFERENCES
Family Day Care, Group Family Day Care Programs & Small Day Care Centers
OCFS-6003
2014
Licensed/Registered Provider
Referencias del Proveedor(a) de Cuidado
Caregiver References
OCFS-6003S
2014
Licensed/Registered Provider
CAREGIVER MEDICAL STATEMENT
Family Day Care, Group Family Day Care Programs & Small Day Care Centers
OCFS-6004
2014
Licensed/Registered Provider
Declaración Médica del Proveedor(a)
Caregiver Medical Statement
OCFS-6004S
2014
Licensed/Registered Provider
CAREGIVER CRIMINAL CONVICTION STATEMENT
Family Day Care, Group Family Day Care Programs & Small Day Care Centers
OCFS-6005
2014
Licensed/Registered Provider
Declaración de Antecedentes Penales del Proveedor(a)
CAREGIVER CRIMINAL CONVICTION STATEMENT
OCFS-6005S
2014
Licensed/Registered Provider
NOTIFICATION OF A FIREARM, SHOTGUN, RIFLE OR AMMUNITION ON THE PREMISES OF THE CHILD DAY CARE HOME
Family and Group Family Day Care
OCFS-6006
2014



search by keyword/form#:

Found 214 Form(s) for Child Care below...

All Columns are sortable by clicking the column heading below...
Sub-Category
Name
Number
Date
Licensed/Registered Provider
Notificación de un Arma de Fuego, Escopeta, Rifle o Munición en el Establecimiento de Cuidado Diurno Infantil
Notification of a Firearm, Shotgun, Rifle or Ammunition on the Premises of the Child Day Care Home
New document
OCFS-6006S
2014
Licensed/Registered Provider
Registro de Visitantes
Visitor Log
OCFS-6009S
2014
Licensed/Registered Provider
Parent Written Medication consent Form
OCFS-6010
2014
Licensed/Registered Provider
HEALTH CARE PLAN - Family Day Care - Group Family Day Care (WORD)
OCFS-LDSS-7021
2014
Licensed/Registered Provider
Written Medication Consent Form
LDSS-7002
2014
Licensed/Registered Provider
Verbal Medication Consent Form and Log of Administration
LDSS-7003
2014
Licensed/Registered Provider
Log of Medication Administration
LDSS-7004
2014
Licensed/Registered Provider
Medication Error Report Form
LDSS-7005
2014
Licensed/Registered Provider
Individual Health Care Plan for a Child with Special Health Care Needs
LDSS-7006
2014
Licensed/Registered Provider
Incident Report for Child Day Care
LDSS-4436
2014
Licensed/Registered Provider
Record of Evacuation Drills
LDSS-4439
2014
Licensed/Registered Provider
Record of Shelter in Place Drills
OCFS-6007
2014
Licensed/Registered Provider
Caregiver Employee Volunteer Attendance Form
OCFS-6008
2014
Licensed/Registered Provider
Visitor Log
OCFS-6009
2014
Licensed/Registered Provider
Child in Care Medical Statement
OCFS-4433
2014
Licensed/Registered Provider
Child Care Attendance Sheet
OCFS-4443
2014
Licensed/Registered Provider
CHILD DAY CARE PROGRAM TRAINING TRACKING CHART
OCFS-4879
2014
Licensed/Registered Provider
Individual Training Tracking
OCFS-4880
2014
Licensed/Registered Provider
Formulario de Seguimiento Individual
Individual Training Tracking
OCFS-4880S
2014
Licensed/Registered Provider
Request for Waiver
OCFS-4887
2014
Licensed/Registered Provider
CAREGIVER PACKET
FAMILY DAY CARE, GROUP FAMILY DAY CARE PROGRAMS AND SMALL DAY CARE CENTERS
OCFS-6000
2014
Licensed/Registered Provider
CAREGIVER INFORMATION
Family Day Care, Group Family Day Care Programs & Small Day Care Centers
OCFS-6001
2014
Licensed/Registered Provider
Información del Proveedor(a) de Cuidado
Caregiver Information
OCFS-6001S
2014
Licensed/Registered Provider
CAREGIVER QUALIFICATIONS
Family Day Care, Group Family Day Care Programs & Small Day Care Centers
OCFS-6002
2014
Licensed/Registered Provider
Calificaciones del Proveedor(a)
Caregiver Qualifications
OCFS-6002S
2014
Licensed/Registered Provider
CAREGIVER REFERENCES
Family Day Care, Group Family Day Care Programs & Small Day Care Centers
OCFS-6003
2014
Licensed/Registered Provider
Referencias del Proveedor(a) de Cuidado
Caregiver References
OCFS-6003S
2014
Licensed/Registered Provider
CAREGIVER MEDICAL STATEMENT
Family Day Care, Group Family Day Care Programs & Small Day Care Centers
OCFS-6004
2014
Licensed/Registered Provider
Declaración Médica del Proveedor(a)
Caregiver Medical Statement
OCFS-6004S
2014
Licensed/Registered Provider
CAREGIVER CRIMINAL CONVICTION STATEMENT
Family Day Care, Group Family Day Care Programs & Small Day Care Centers
OCFS-6005
2014
Licensed/Registered Provider
Declaración de Antecedentes Penales del Proveedor(a)
CAREGIVER CRIMINAL CONVICTION STATEMENT
OCFS-6005S
2014
Licensed/Registered Provider
NOTIFICATION OF A FIREARM, SHOTGUN, RIFLE OR AMMUNITION ON THE PREMISES OF THE CHILD DAY CARE HOME
Family and Group Family Day Care
OCFS-6006
2014
Autism Spectrum Disorders: Learn the Signs (Poster)
2010
Warning Signs of Autism Spectrum Disorders (PDF)
2010
Approval of Your Redetermination for Child Care Benefits
關於您兒童照護福利資格重定的核准
OCFS-LDSS-4784-CH
2013
Approval of Your Redetermination for Child Care Benefits
APWOBASYON RE-DETÈMINASYON OU POU AVANTAJ GADRI
OCFS-LDSS-4784-HC
2013
Approval of Your Redetermination for Child Care Benefits
APPROVAZIONE DELLA DELIBERAZIONE DI SUSSIDI PER I SERVIZI ALL’INFANZIA
OCFS-LDSS-4784-IT
2013
Approval of Your Redetermination for Child Care Benefits
보육 혜택 재결정 승인
OCFS-LDSS-4784-KO
2013
Approval of Your Redetermination for Child Care Benefits
ОДОБРЕНИЕ В СВЯЗИ С ПЕРЕСМОТРОМ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
OCFS-LDSS-4784-RU
2013
Approval of Your Transitional Child Care Benefits
關於您過渡期兒童照護福利資格的核准
OCFS-LDSS-4785-CH
2013
Approval of Your Transitional Child Care Benefits
APWOBASYON POU AVANTAJ GADRI PWOVIZWA OU
OCFS-LDSS-4785-HC
2013
Approval of Your Transitional Child Care Benefits
APPROVAZIONE DEI SUSSIDI TRANSITORI PER I SERVIZI ALL'INFANZIA
OCFS-LDSS-4785-IT
2013
Approval of Your Transitional Child Care Benefits
한시적 보육 혜택 재결정 승인
OCFS-LDSS-4785-KO
2013
Approval of Your Transitional Child Care Benefits
ОДОБРЕНИЕ ВРЕМЕННОГО ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
OCFS-LDSS-4785-RU
2013
Health Care Plan - School Age Child Care (WORD)
OCFS-LDSS-7022
2010
Legally-Exempt Provider
District Notification to Legally -Exempt Caregiver Enrollment Agency
OCFS-2114
2013
Legally-Exempt Provider
History of Criminal Convictions and Parental Acknowledgment
OCFS-4915
2012
Legally-Exempt Provider
Historial de Convicciones Criminales y Reconocimiento del Padre-Madre
History of Criminal Convictions and Paternal Acknowledgment
OCFS-4915-S
2012
Legally-Exempt Provider
History of Day Care Enforcement and Parental Acknowledgment
OCFS-4916
2012
Legally-Exempt Provider
Historial de Ejecutoria de Cuidado Diurno y Reconocimiento del Padre-Madre
History of Day Care Enforcement and Parental Acknowledgment
OCFS-4916-S
2012
Legally-Exempt Provider
History of Termination of Parental Rights and or Court Ordered Article 10/Removal of a Child and Parental Acknowledgment
OCFS-4917
2012
Legally-Exempt Provider
Historial de Terminacion de Derechos Paternos/Maternos y/o Retiro de Ninos por Orden del Tribunal Segun Articulo 10 y Reconocimiento Paterno-Materno
History of Termination of Parental Rights and/or Court Ordered Article 10/Removal of a Child and Parental Acnowledgement
OCFS-4917-S
2014
Legally-Exempt Provider
Enrollment Information Packet for Legally-Exempt Providers (WORD)
OCFS-7026
2007
Legally-Exempt Provider
Paquete de Informacion Sobre la Inscripcion para Proveedores Legalmente Exentos (WORD)
OCFS-7026-S
2007
Legally-Exempt Provider
Enrollment Form for Provider of Legally Exempt Family Child Care and Legally Exempt In-Home Child Care (WORD)
OCFS-LDSS-4699
2011
Legally-Exempt Provider
Employment of Minors Form (WORD)
OCFS-LDSS-4699-1
2010
Legally-Exempt Provider
Employment of Minors Information (WORD)
OCFS-LDSS-4699-1A
2010
Legally-Exempt Provider
Formulario de Empleo para Menores de Edad (WORD)
Employment of Minors Form
OCFS-LDSS-4699-1-S
2010
Legally-Exempt Provider
Legally Exempt In-Home Child Care Provider Agreement Form (WORD)
OCFS-LDSS-4699-2
2006
Legally-Exempt Provider
Parental Responsibilities When Employing a Legally-Exempt In-Home Child Care Provider (WORD)
OCFS-LDSS-4699-2A
2010
Legally-Exempt Provider
Acuerdo del Proveedor(a) de Cuidado Infantil a Domicilio Legalmente Exento
Legally Exempt In-Home Child Care Provider
OCFS-LDSS-4699-2S
2006
Legally-Exempt Provider
Legally Exempt Provider Training Record Form
OCFS-LDSS-4699-3
2006
Legally-Exempt Provider
Registro de Entrenamiento para Proveedores de Cuidado Infantil Legalmente Exento (WORD)
Legally Exempt Provider Training Record Form
OCFS-LDSS-4699-3-S
2006
Legally-Exempt Provider
Formulario de Inscripcion para Proveedor(a) de Servicios de Cuidado Infantil en Familia Legalmente Exento y de Cuidado Infantil a Domicilio (WORD)
OCFS-LDSS-4699-S
2011
Legally-Exempt Provider
Enrollment Form for Provider of Legally Exempt Group Child Care (WORD)
OCFS-LDSS-4700
2014
Legally-Exempt Provider
Health Care Plan for the Administration of Medication for Legally-Exempt Provider (WORD)
OCFS-LDSS-7000
2008
Legally-Exempt Provider
Instrucciones para Completar el Plan de Salud para la Administracion de Medicamentos para Proveedores Legalmente Exentos (WORD)
OCFS-LDSS-7000S
2008
Legally-Exempt Provider
Instructions for Completing the Health Care Plan for the Administration of Medication for Legally-Exempt Provider (WORD)
OCFS-LDSS-7001
2008
Legally-Exempt Provider
Instrucciones para Completar el Plan de Salud para la Administracion de Medicamentos del Proveedor Legalmente Exento (WORD)
OCFS-LDSS-7001S
2004
Legally-Exempt Provider
Written Medication Consent Form (WORD)
OCFS-LDSS-7002
2004
Legally-Exempt Provider
Formulario de Consentimiento Escrito para Medicamentos
Written Medication Consent Form
OCFS-LDSS-7002S
2004
Legally-Exempt Provider
Formulario de Consentimiento Escrito para Medicamentos
Written Medication Consent Form
OCFS-LDSS-7002S
2004
Legally-Exempt Provider
Verbal Medication Consent Form and Log of Administration(WORD)
OCFS-LDSS-7003
2004
Legally-Exempt Provider
Formulario de Consentimiento Verbal y Administacion del Registro (WORD)
Verbal Medication Consent Form and Log of Administration
OCFS-LDSS-7003S
2004
Legally-Exempt Provider
Log of Medication Administration (WORD)
OCFS-LDSS-7004
2004
Legally-Exempt Provider
Registro de Administración de Medicamentos(WORD)
Log of Medication Administration
OCFS-LDSS-7004S
2004
Legally-Exempt Provider
Medication Error Report Form (WORD)
OCFS-LDSS-7005
2004
Legally-Exempt Provider
Formulario de Informe de Error de Medicación (WORD)
Medication Error Report Form
OCFS-LDSS-7005S
2004
Legally-Exempt Provider
Individual Health Care Plan for A Child With Special Health Care Needs (WORD)
OCFS-LDSS-7006
2004
Legally-Exempt Provider
Plan Individual de Cuidado de la Salud para un Niño(a) con Necesidades Especiales de Cuidado de la Salud (WORD)
Individual Health Care Plan for a Child with Special Health Care Needs
OCFS-LDSS-7006S
2004
Legally-Exempt Provider
Obtaining Authorization to Administer Medication to Subsidized Children in Legally Exempt Care (WORD)
OCFS-LDSS-7007
2008
Legally-Exempt Provider
Obtención de Autorización para la Administración de Medicamentos para Niños Subsidiados en Cuidado Infantil Legalmente Exento
OCFS-LDSS-7007S
2008
Legally-Exempt Provider
Administration of Medication by Legally-Exempt Child Care Provider (WORD)
OCFS-LDSS-7008
2004
Legally-Exempt Provider
Illness Injury and Indicators of Abuse Log (WORD)
OCFS-LDSS-7019
2010
Legally-Exempt Provider
Evaluation of my Most Recent Licensing-Registration Experience (WORD)
OCFS-LDSS-7024
2009
Legally-Exempt Provider
HOME INSPECTION REPORT FOR LEGALLY EXEMPT FAMILY CHILD CARE PROVIDER
OCFS-LDSS-7028
2013
Legally-Exempt Provider
Home Inspection Report Summary
OCFS-LDSS-7028-1
2013
Legally-Exempt Provider
Corrective Action Plan for Legally Exempt Child Care Provider (WORD)
OCFS-LDSS-7028-2
2008
Legally-Exempt Provider
Attachment to the Home Inspection Report for Legally Exempt Family Child Care Provider (WORD)
OCFS-LDSS-7028-3
2008
Legally-Exempt Provider
Assistant Information-Group Family Day Care (WORD)
OCFS-LDSS-7035
2008
Licensed/Registered Provider
Authorized Person Designation/Notarized Sworn Statement Form
Licensed/Registered Provider
Request for Staff Exclusion List Check Form
Licensed/Registered Provider
Statewide Central Register Database Check Form and Instructions for Completing the (DCCS Version)
LDSS-3370
2013
Licensed/Registered Provider
Caregiver Medical Statement (All Modalities) (WORD)
LDSS-4434-1
2011
Licensed/Registered Provider
Household Member Medical Statement(WORD)
LDSS-4434-4
2009
Licensed/Registered Provider
DCC Emergency Planning Guide
LDSS-4438DCC
2011
Licensed/Registered Provider
FDC-GFDC Emergency Planning Guide
LDSS-4438FDC
2011
Licensed/Registered Provider
SACC Emergency Planning Guide
LDSS-4438SACC
2011
Licensed/Registered Provider
Schedule of Program Activities for Child Day Care (WORD)
LDSS-4440
2004
Licensed/Registered Provider
Discipline Policy Statement for Child Day Care (WORD)
LDSS-4441
2005
Licensed/Registered Provider
Menu Planning for Child Day Care (WORD)
LDSS-4442
2005
Licensed/Registered Provider
Daily Attendance Record Child Day Care (WORD)
LDSS-4443
2004
Licensed/Registered Provider
Potassium Iodide-KI Refusal-Opt-Out Form (WORD)
OCFS-4411
2011
Licensed/Registered Provider
Formulario para Rehusar el Yoduro de Potasio (KI) (WORD)
Potassium Iodide (KI) Refusal/Opt-Out Form
OCFS-4411S
2011
Licensed/Registered Provider
Notice to Expunge Associated Fingerprint Cards (WORD)
OCFS-4622
2010
Licensed/Registered Provider
Waiver for Submission of a Duplicate Fingerprint Card (WORD)
OCFS-4659
2014
Licensed/Registered Provider
Day Care Program Training Tracking Chart (WORD)
OCFS-4879
2008
Licensed/Registered Provider
Hoja para Registrar la Capacitacion del Personal en un Programa de Cuidado Diurno (WORD)
OCFS-4879S
2008
Licensed/Registered Provider
Request for Waiver (WORD)
OCFS-4887
2011
Licensed/Registered Provider
Hoja para Registrar la Capacitacion Individual en un Programa de Cuidado Diurno (WORD)
OCFS-4887S
2011
Licensed/Registered Provider
Report of Death of Child Care (WORD)
OCFS-4890
2008
Licensed/Registered Provider
Fuel Burning System Inspection (WORD)
OCFS-4926
2010
Licensed/Registered Provider
ASFA Request for NYS Fingerprinting Services - Information Form (WORD)
OCFS-4930
2013
Licensed/Registered Provider
Guidelines for Fingerprinting (WORD)
OCFS-4930-1
2013
Licensed/Registered Provider
Guia para Obtener Impresiones Digitales (WORD)
OCFS-4930-1S
2013
Licensed/Registered Provider
Solicitud de Servicios de Impresiones Digitales
Request for Fingerprinting Services
OCFS-4930S
2013
Licensed/Registered Provider
Family and Group Family Day Care Provider Request to Remove Street Address and Map from the Office of Children and Family Services Website (WORD)
OCFS-4932
2009
Licensed/Registered Provider
Solicitud para Retirar del Portal de la Agencia la Dirección y el Mapa Asociado con la Dirección de un Hogar de Cuidado Diurno en Familia o de un Grupo en Familia
Family and Group Family Day Care Provider Request to Remove Street Address and Map from the Office of Children and Family Services Website
OCFS-4932S
2009
Licensed/Registered Provider
Provider Notification of Licensing or Registration to Fire and Police or Sheriff Departments (WORD)
OCFS-4939
2010
Licensed/Registered Provider
Notificacion del Proveedor(a) de Cuidado Infantil a los Departamentos de Bomberos y de la Policia sobre su Licencia o Registro (WORD)
OCFS-4939S
2010
Licensed/Registered Provider
DCC-Monthly Fire-Safety Inspection for DCC Director or Designee
OCFS-DCC-4838
2012
Licensed/Registered Provider
Medical Statement of Child in Childcare (WORD)
OCFS-LDSS-4433
2013
Licensed/Registered Provider
Declaración Médica de un Niño(a) en Cuidado Infantil
Medical Statement of Child in Childcare (WORD)
OCFS-LDSS-4433S
2013
Licensed/Registered Provider
Delinquent Family Share for Child Care Benefits
托兒補助家庭自付額欠款通知
OCFS-LDSS-4783-CH
2013
Licensed/Registered Provider
Delinquent Family Share for Child Care Benefits
KONTRIBISYON PEMAN FANMI KI ANRETA POU BENEFIS GADRI
OCFS-LDSS-4783-HC
2013
Licensed/Registered Provider
Delinquent Family Share for Child Care Benefits
INSOLVENZA PER IL CONTRIBUTO FAMILIARE PER SUSSIDI PER I SERVIZI ALL'INFANZIA
OCFS-LDSS-4783-IT
2013
Licensed/Registered Provider
Delinquent Family Share for Child Care Benefits
ПРОСРОЧЕННЫЙ СЕМЕЙНЫЙ ВЗНОС В СЧЕТ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
OCFS-LDSS-4783-RU
2013
Licensed/Registered Provider
Log of Medication Administration (WORD)
OCFS-LDSS-7004
2004
Licensed/Registered Provider
Registro de Administración de Medicamentos (WORD)
Log of Medication Administration
OCFS-LDSS-7004S
2004
Licensed/Registered Provider
Medication Error Report Form (WORD)
OCFS-LDSS-7005
2004
Licensed/Registered Provider
Formulario de Informe de Error de Medicacion (WORD)
Medication Error Report
OCFS-LDSS-7005S
2004
Licensed/Registered Provider
Individual Health Care Plan for A Child With Special Health Care Needs (WORD)
OCFS-LDSS-7006
2004
Licensed/Registered Provider
Plan Individual de Cuidado de la Salud para un Nino(a) con Necesidades Especiales de Cuidado de la Salud(WORD)
Individual Health Care Plan for a Child with Special Health Care Needs
OCFS-LDSS-7006S
2004
Licensed/Registered Provider
Registro de Enfermedades, Lesiones e Indicadores de Abuso
Illness, Injury and Indicators of Abuse Log
OCFS-LDSS-7019S
2006
Licensed/Registered Provider
Health Care Plan - Day Care Center (WORD)
OCFS-LDSS-7020
2013
Licensed/Registered Provider
Plan de Atención Médica (Centro de Cuidado Infantil/Guardería Infantil)
Health Care Plan-Day Care Center
OCFS-LDSS-7020S
2013
Licensed/Registered Provider
Plan de Atención Médica (Hogar de Cuidado Diurno en Familia/Hogar de Cuidado Diurno de un Grupo en Familia/Centro Pequeño de Cuidado Infantil)
Health Care Plan-Family Day Care Center-Group Family Day Care Center-Small Day Care Centers
OCFS-LDSS-7021S
2013
Licensed/Registered Provider
Assistant Qualifications (WORD)
OCFS-LDSS-7036
2008
Licensed/Registered Provider
Assistant References (WORD)
OCFS-LDSS-7037
2008
Licensed/Registered Provider
Criminal Conviction Statement (WORD)
OCFS-LDSS-7038
2012
Licensed/Registered Provider
Environmental Hazards Guidance Sheet (WORD)
OCFS-LDSS-7040
2006
Licensed/Registered Provider
Directions for Completing the Environmental Hazards Statement (WORD)
OCFS-LDSS-7041
2006
Licensed/Registered Provider
Environmental Hazard Information Form Parts I and II (WORD)
OCFS-LDSS-7042
2006
Licensed/Registered Provider
Plan of Study Commitment for Head of Group for Preschoolers Infants and Toddlers (WORD)
OCFS-LDSS-7043
2008
Licensed/Registered Provider
Plan of Study Commitment for Director of Day Care Center (WORD)
OCFS-LDSS-7044
2008
Licensed/Registered Provider
SACC-Monthly Fire-Safety Inspection for DCC Director or Designee
OCFS-SACC-4838
2012
Local Department of Social Services
Child Care Eligibility Re-determination Coming Due (Sample Only)
OCFS-4773
2013
Local Department of Social Services
Se Acerca la Rederminación de Su Elegibilidad para Recibir Asistencia de Cuidado Infantil (Ejemplo Solamente)
Child Care Eligibility Re-determination Coming Due (Sample Only)
OCFS-4773S
2013
Local Department of Social Services
Day Care Registration (WORD)
OCFS-LDSS-0792
2005
Local Department of Social Services
Registro de Cuidado Diurno
Day Care Registration
OCFS-LDSS-0792-S
2012
Local Department of Social Services
Registro de Cuidado Diurno
Day Care Registration
OCFS-LDSS-0792-S
2012
Local Department of Social Services
Approval of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4779
2013
Local Department of Social Services
Approval of Your Application for Child Care Benefits (Sample Only)
申請兒童照護福利獲批通知
OCFS-LDSS-4779-CH
2013
Local Department of Social Services
Approval of Your Application for Child Care Benefits (Sample Only)
申請兒童照護福利獲批通知
OCFS-LDSS-4779-CH
2013
Local Department of Social Services
Approval of Your Application for Child Care Benefits (Sample Only)
APWOBASYON POU APLIKASYON OU FÈ POU AVANTAJ GADRI
OCFS-LDSS-4779-HC
2013
Local Department of Social Services
Approval of Your Application for Child Care Benefits (Sample Only)
APWOBASYON POU APLIKASYON OU FÈ POU AVANTAJ GADRI
OCFS-LDSS-4779-HC
2013
Local Department of Social Services
Approval of Your Application for Child Care Benefits (Sample Only)
APPROVAZIONE DELLA RICHIESTA DI SUSSIDI PER I SERVIZI ALL'INFANZIA
OCFS-LDSS-4779-IT
2013
Local Department of Social Services
Approval of Your Application for Child Care Benefits (Sample Only)
APPROVAZIONE DELLA RICHIESTA DI SUSSIDI PER I SERVIZI ALL'INFANZIA
OCFS-LDSS-4779-IT
2013
Local Department of Social Services
Approval of Your Application for Child Care Benefits (Sample Only)
보육 지원 혜택 신청 승인
OCFS-LDSS-4779-KO
2013
Local Department of Social Services
Approval of Your Application for Child Care Benefits (Sample Only)
보육 지원 혜택 신청 승인
OCFS-LDSS-4779-KO
2013
Local Department of Social Services
Approval of Your Application for Child Care Benefits (Sample Only)
ОДОБРЕНИЕ ЗАЯВЛЕНИЯ НА ПОЛУЧЕНИЕ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
OCFS-LDSS-4779-RU
2013
Local Department of Social Services
Approval of Your Application for Child Care Benefits (Sample Only)
ОДОБРЕНИЕ ЗАЯВЛЕНИЯ НА ПОЛУЧЕНИЕ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
OCFS-LDSS-4779-RU
2013
Local Department of Social Services
Aprobación de Su Solicitud para Beneficios de Cuidado Infantil (Ejemplo Solamente)
Approval of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4779-S
2013
Local Department of Social Services
Denial of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4780
2013
Local Department of Social Services
Denial of Your Application for Child Care Benefits (Sample Only)
申請兒童照護福利遭拒通知
OCFS-LDSS-4780-CH
2013
Local Department of Social Services
Denial of Your Application for Child Care Benefits (Sample Only)
申請兒童照護福利遭拒通知
OCFS-LDSS-4780-CH
2013
Local Department of Social Services
Denial of Your Application for Child Care Benefits (Sample Only)
REFI POU APLIKASYON OU FÈ POU AVANTAJ GADRI
OCFS-LDSS-4780-HC
2013
Local Department of Social Services
Denial of Your Application for Child Care Benefits (Sample Only)
REFI POU APLIKASYON OU FÈ POU AVANTAJ GADRI
OCFS-LDSS-4780-HC
2013
Local Department of Social Services
Denial of Your Application for Child Care Benefits (Sample Only)
RIFIUTO DELLA RICHIESTA DI SUSSIDI PER I SERVIZI ALL'INFANZIA
OCFS-LDSS-4780-IT
2013
Local Department of Social Services
Denial of Your Application for Child Care Benefits (Sample Only)
RIFIUTO DELLA RICHIESTA DI SUSSIDI PER I SERVIZI ALL'INFANZIA
OCFS-LDSS-4780-IT
2013
Local Department of Social Services
Denial of Your Application for Child Care Benefits (Sample Only)
보육 지원 혜택 신청에 대한 거부
OCFS-LDSS-4780-KO
2013
Local Department of Social Services
Denial of Your Application for Child Care Benefits (Sample Only)
보육 지원 혜택 신청에 대한 거부
OCFS-LDSS-4780-KO
2013
Local Department of Social Services
Denial of Your Application for Child Care Benefits (Sample Only)
ОТКЛОНЕНИЕ ЗАЯВЛЕНИЯ НА ПОЛУЧЕНИЕ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
OCFS-LDSS-4780-RU
2013
Local Department of Social Services
Denegación de Su Solicitud de Beneficios para Cuidado Infantil
Denial of Your Application for Child Care Benefits (Sample Only)
OCFS-LDSS-4780-S
2013
Local Department of Social Services
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
OCFS-LDSS-4781
2013
Local Department of Social Services
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
意欲變更兒童照護福利與家庭分攤支付的通知
OCFS-LDSS-4781-CH
2013
Local Department of Social Services
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
意欲變更兒童照護福利與家庭分攤支付的通知
OCFS-LDSS-4781-CH
2013
Local Department of Social Services
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
AVI POU FÈ OU KONNEN ENTANSYON POU CHANJE AVANTAJ GADRI OU AK PEMAN KOTIZASYON FANMI OU
OCFS-LDSS-4781-HC
2013
Local Department of Social Services
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
AVI POU FÈ OU KONNEN ENTANSYON POU CHANJE AVANTAJ GADRI OU AK PEMAN KOTIZASYON FANMI OU
OCFS-LDSS-4781-HC
2013
Local Department of Social Services
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
AVVISO DI MODIFICA DEI SUSSIDI PER I SERVIZI ALL'INFANZIA E DEI PAGAMENTI DI CONTRIBUTI FAMILIARI
OCFS-LDSS-4781-IT
2013
Local Department of Social Services
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
AVVISO DI MODIFICA DEI SUSSIDI PER I SERVIZI ALL'INFANZIA E DEI PAGAMENTI DI CONTRIBUTI FAMILIARI
OCFS-LDSS-4781-IT
2013
Local Department of Social Services
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
보육 지원 혜택 및 자기 부담금 지급 변경 의향 통지서
OCFS-LDSS-4781-KO
2013
Local Department of Social Services
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
보육 지원 혜택 및 자기 부담금 지급 변경 의향 통지서
OCFS-LDSS-4781-KO
2013
Local Department of Social Services
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ИЗМЕНИТЬ ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ И СЕМЕЙНЫЕ ВЗНОСЫ
OCFS-LDSS-4781-RU
2013
Local Department of Social Services
NOTICE OF INTENT TO CHANGE CHILD CARE BENEFITS AND FAMILY SHARE PAYMENTS (Sample Only)
УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ИЗМЕНИТЬ ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ И СЕМЕЙНЫЕ ВЗНОСЫ
OCFS-LDSS-4781-RU
2013
Local Department of Social Services
Notificación del Intento de Cambiar Beneficios de Cuidado Infantil y Pagos de Porciones Familiares
Notice of Intent to Change Child Care Benefits and Family Share Payments
OCFS-LDSS-4781-S
2013
Local Department of Social Services
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
OCFS-LDSS-4782
2013
Local Department of Social Services
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
意欲中斷兒童照護福利的通知
OCFS-LDSS-4782-CH
2013
Local Department of Social Services
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
意欲中斷兒童照護福利的通知
OCFS-LDSS-4782-CH
2013
Local Department of Social Services
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
AVI POU FÈ OU KONNEN ENTANSYON POU SISPANN AVANTAJ GADRI OU
OCFS-LDSS-4782-HC
2013
Local Department of Social Services
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
AVI POU FÈ OU KONNEN ENTANSYON POU SISPANN AVANTAJ GADRI OU
OCFS-LDSS-4782-HC
2013
Local Department of Social Services
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
AVVISO DI INTERRUZIONE DEI SUSSIDI PER I SERVIZI ALL'INFANZIA
OCFS-LDSS-4782-IT
2013
Local Department of Social Services
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
AVVISO DI INTERRUZIONE DEI SUSSIDI PER I SERVIZI ALL'INFANZIA
OCFS-LDSS-4782-IT
2013
Local Department of Social Services
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
보육 지원 혜택 중단 의향 통지서
OCFS-LDSS-4782-KO
2013
Local Department of Social Services
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
보육 지원 혜택 중단 의향 통지서
OCFS-LDSS-4782-KO
2013
Local Department of Social Services
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ПРЕКРАТИТЬ ВЫПЛАТУ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
OCFS-LDSS-4782-RU
2013
Local Department of Social Services
Notice of Intent to Discontinue Child Care Benefits (Sample Only)
УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ПРЕКРАТИТЬ ВЫПЛАТУ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
OCFS-LDSS-4782-RU
2013
Local Department of Social Services
Notificación del Intento de Discontinuar los Beneficios de Cuidado Infantil
Notification of Intent to Discontinue Child Care Benefits
OCFS-LDSS-4782-S
2013
Local Department of Social Services
Delinquent Family Share for Child Care Benefits
OCFS-LDSS-4783
2012
Local Department of Social Services
Delinquent Family Share for Child Care Benefits
托兒補助家庭自付額欠款通知
OCFS-LDSS-4783-CH
2013
Local Department of Social Services
Delinquent Family Share for Child Care Benefits
KONTRIBISYON PEMAN FANMI KI ANRETA POU BENEFIS GADRI
OCFS-LDSS-4783-HC
2013
Local Department of Social Services
Delinquent Family Share for Child Care Benefits
INSOLVENZA PER IL CONTRIBUTO FAMILIARE PER SUSSIDI PER I SERVIZI ALL'INFANZIA
OCFS-LDSS-4783-IT
2013
Local Department of Social Services
Delinquent Family Share for Child Care Benefits
아동 보호 수당에 요구되는 가족 부담액의 연체
OCFS-LDSS-4783-KO
2013
Local Department of Social Services
Delinquent Family Share for Child Care Benefits
ПРОСРОЧЕННЫЙ СЕМЕЙНЫЙ ВЗНОС В СЧЕТ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
OCFS-LDSS-4783-RU
2013
Local Department of Social Services
Porción de Pago Familiar en Delincuencia para Cubrir Beneficios de Cuidado de Niños
Delinquent Family Share for Child Care Benefits
OCFS-LDSS-4783-S
2012
Local Department of Social Services
Approval of Your Redetermination for Child Care Benefits
OCFS-LDSS-4784
2013
Local Department of Social Services
Aprobacion de Su Redeterminacion para Beneficios de Cuidado Infantil
Approval of Your Redetermination for Child Care Benefits
OCFS-LDSS-4784S
2013
Local Department of Social Services
Approval of Your Transitional Child Care Benefits
OCFS-LDSS-4785
2013
Local Department of Social Services
Aprobacion de Sus Beneficios de Cuidado Infantil en Transicion
Approval of Your Transitional Child Care Benefits
OCFS-LDSS-4785S
2013
Local Department of Social Services
Administración de Medicamentos por el Proveedor de Cuidado Infantil Legalmente Exento (WORD)
Administration of Administration by Legally Exempt Provider
OCFS-LDSS-7008S
2004
Local Department of Social Services
Notice of Child Care Assistance Overpayment and Repayment Requirements(WORD)
OCFS-LDSS-7009
2005
Local Department of Social Services
Notificación de Sobrepago de Asistencia para Cuidado Infantil y Requisitos de Devolución (WORD)
Notice of Child Care Assistance Overpayment and Repayment Requirements
OCFS-LDSS-7009S
2005
Local Department of Social Services
Notice of Fraud Determination-Disqualification for Child Care Benefits and Repayment Plan (WORD)
OCFS-LDSS-7010
2005
Local Department of Social Services
Notificación de Determinación de Fraude Descalificación para Recibir Beneficios de Cuidado Infantil y Plan de Devolución de Pagos (WORD)
Notice of Fraud Determination-Disqualification for Child Care Payments and Repayment Plan
OCFS-LDSS-7010S
2005

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