California Department of Education (http://www.cde.ca.gov/sp/cd/ci/cddforms.asp)
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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 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 (PDF)

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)

Request for Part-Day Preschool Restoration Funding (DOC)
Form for CDD California State Preschool Program contractors to request part-day preschool restoration funding for 2013-14. This form must be returned to the CDD no later than July 31, 2013.

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

Questions:   Child Development Division | 916-322-6233
Last Reviewed: Monday, July 22, 2013