After School Program Enrollment Certification CD-9608A (DOC)
Annual Summary of Eleven- and Twelve-Year-Old Children in Child Development Division Child Care Programs CD-9608Bx (XLS)
Annual Summary of Eleven- and Twelve-Year-Old Children in Child Development 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 2012-13 CD-9730 (XLS)
Calendar Fiscal Year 2013-14 CD-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
Continued Funding Application, Fiscal Year 2013-14 CD-3704 (PDF)
Continued Funding Application Instructions, Fiscal Year 2013-14 (PDF)
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 CD-8604 (PDF) Requires Legal paper.
Equipment Purchase Approval CD-2703 (DOC)
Income Calculation Worksheet - Cash, Wages, or Salary CD-ICW (DOC)
Mandatory Annual Health and Safety Training Expenditure Report CD-5004 (XLS)
Notice of Action CD-7617 (DOC)
Available Translations of the Notice 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)
Payee Data STD-204 (PDF; 1MB)
Personnel Roster to Maintain at Site CD-3701B (DOC)
Prekindergarten and Family Literacy Program (PKFLP) Site Change Request and Eligibility Form CD-PKFLP (DOC)
Program Narrative Change FY 2012-13 CD-3704A (PDF)
Program Narrative Change FY 2013-14 CD-3704A (PDF)
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 CD-7701A (PDF)
Site Supervisor or Program Director Staffing Qualification Waiver Extension Request CD-7701B (PDF)
Statement of Incapacity CD-9606 (DOC)
Available Translations of the Statement of Incapacity