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Child Care Services Forms


After School Program Enrollment Certification CD-9608A (DOC)

Annual Summary of Eleven- and Twelve-Year-Old Children in Early Education and Support Division Child Care Programs CD-9608Bx (XLS)
Annual Summary of Eleven- and Twelve-Year-Old Children in Early Education and Support Division Child Care Programs CD-9608Bx (DOC)

Attendance and Fiscal Reporting forms are available through the Child Development Fiscal Services Web site.

Calendar Fiscal Year 2014-15 CD-9730 (XLS)

Calendar Fiscal Year 2015-16 EESD-9730 (XLS)

Calendar Fiscal Year 2016-17 EESD-9730 (XLS)

Child Care Data Collection Privacy Notice and Consent Form CD-9600A (DOC)
Available Translations of the Child Care Data Collection Privacy Notice and Consent Form


CDD-801A and CDD-801B Child Development Data Reporting

Child Ratio Schedule CD-3705 (DOC)

Confidential Application for Child Development Services and Certification of Eligibility CD-9600 (DOC)
Available Translations of the Confidential Application for Child Development Services and Certification of Eligibility CD-9600

Desired Results Materials and Forms

Emergency and Identification Information CD-9607 (DOC)
Available Translations of the Emergency and Identification Information

Enrollment and Attendance Register CD-9400 (DOC) Requires 11 x 17 paper.

Equipment Inventory EESD-8604 (PDF) Requires Legal paper.

Equipment Purchase Approval CD-2703 (PDF)

Health and Safety Training Expenditure Report CD-5004 (XLS)

Income Calculation Worksheet - Cash, Wages, or Salary CD-ICW (DOC)

Notices of Action

Notification and Certification for 11 and 12-Year-Old Children CD-9608 (DOC)
Available Translations of the Notification and Certification for 11 and 12-Year-Old Children

Out of State Travel CD-2700 (DOC)

Parent Plan for Seeking Employment EESD-PPSE (PDF)

Payee Data STD-204 (PDF; 1MB)

Personnel Roster Data Spreadsheet (XLS)

Prekindergarten and Family Literacy Program (PKFLP) Site Change Request and Eligibility Form CD-PKFLP (DOC)

Program Narrative Change FY 2014-15 CD-3704A (DOC)

Program Narrative Change FY 2015-16 EESD-3704A (DOC)

Resource and Referral Program Service Data Report
The online data report (CD 2504E) completed by Resource and Referral contractors and instructions on how to obtain a contractor’s password and how to complete the data report.

Site Supervisor or Program Director Staffing Qualifications Waiver Request EESD-7701A (PDF)

Site Supervisor or Program Director Staffing Qualifications Waiver Extension Request EESD-7701B (PDF)

Statement of Incapacity CD-9606 (DOC)
Available Translations of the Statement of Incapacity

Training Verification-Parent or Caretaker Attending School or Recewiving Training EESD-9605 (DOC)

Questions:   Early Education and Support Division | 916-322-6233
Last Reviewed: Thursday, April 7, 2016

Recently Posted in Child Development

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    The following is a transcript of the video recording of the live public hearing facilitated by the California Department of Education on January 12, 2016, for the Child Care and Development Fund 2016–18 State Plan.
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    Instructional presentation on the fiscal year (FY) 2015-16 Program Self-Evaluation (PSE).