Thank you for your interest in Family Child Care Licensing. 

Please start by reading and/or printing our New Applicant Letter HERE.

Review the Orientation and Guide to Becoming a Licensed Family Child Care Provider. 

 

After reading our New Applicant Letter, and Guide you will need to download the following documents:

 

1. Family Systems Licensing Application 
   *needs to be NOTARIZED

   1. ​Special Family Child Care Program Plan

   2. Special Family Child Care Primary Provider of Care​​
       

2. Background Study Data Collection Form and Letter 
   *Required for all persons in the household over the age
   13 and all substitute care provider
    

3. Return Above Documents
   (1. Family Systems Licensing forms and
   2. Background study form to Social Services.)     
   *You will receive a phone call from the Western Prairie Human Services
   after these forms are turned in.
    

4. Drug & Alcohol Policy 
    

5. Grievance policy
    

6. Privacy rights (signed/dated)
    

7. Physicians Statement
    

8. Fire Marshal request Form ($50/money order or Certified
   check to State fire Marshal) *The Licensor will send you this directly

9. Turn in a copy of animal vaccinations
    

10. Policy & Procedure Complete 
     

11. Child Admission forms packet completed
     

12. MN Family Disaster/Emergency Plan
     

13. Water Test 
     

14. Workman’s Comp Form
     

15. Mandated Reporter Policy 
    
    DHS Licensed Family Child Care Resource and Forms Page

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