Child Care Services Forms
While the California Department of Education continues to operate the California State Preschool Program, the Early Childhood Development Act of 2020 (Senate Bill (SV) 98, Chapter 24, Statutes of 2020) authorized the transfer of many childcare programs from the California Department of Education to the California Department of Social Services (CDSS) effective July 1, 2021. The content on this page may include programs that have moved to CDSS. For additional assistance you can either visit the CDSS Child Care Transition web page
or call 1-833-559-2420 for more information.
After School Program Enrollment Certification CD-9608A (PDF)
Annual Summary of Eleven- and Twelve-Year-Old Children in Early Learning and Care Division (ELCD) Child Care Programs CD-9608Bx (XLS)
Annual Summary of Eleven- and Twelve-Year-Old Children in Early Learning and Care Division Child Care Programs CD-9608Bx (DOC)
Attendance and Fiscal Reporting forms are available through
the Child Development Fiscal
Services website.
Calendar Fiscal Year 2018-19 EESD-9730 (XLS)
The Fiscal Year 2018-2019 Program Calendar was provided by the Early Education and Support Division (EESD).
Calendar Fiscal Year 2019-20 EESD-9730 (XLS)
Calendar Fiscal Year 2020-21 ELCD-9730 (PDF)
Calendar Fiscal Year 2021-22 ELCD-9730 (PDF)
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 EESD-9600 (DOC)
Available Translations of the Confidential Application for Child Development Services and Certification of Eligibility EESD-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
Income Calculation Worksheet - Cash, Wages, or Salary CD-ICW (DOC)
Non-COVID-19 Emergency Closure Request Form (PDF)
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)
Program Narrative Change FY 2020-21 ELCD-3704A (PDF)
Program Narrative Change FY 2021-22 ELCD-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 EESD-7701A (PDF)
Statement of Incapacity CD-9606 (DOC)
Available Translations of the Statement of Incapacity
Training Verification-Parent or Caretaker Attending School or Receiving Training EESD-9605 (DOC)
