Forms and Guides
Choosing a Provider Becoming a Provider
Provider Licensing Rules and Regulations
Provider Training Forms and Guides
Education and Activities
Contact Licensing
Licensing Information Lookup
Forms are found on the Minnesota Department of Human Services Licensed Child Care Centers webpage. If you can't find what you are looking for, please contact Kandiyohi County Child Care Licensing at 320-231-7800, Extension 2466.
Other Documents
- Application for License DHS-3745 (PDF) (01/16)
- Document List (PDF) (11/15)
- Equipment and Supplies – Infant DHS-4943 (PDF) (09/2)
- Equipment and Supplies – Preschool DHS-4945 (PDF) (09/02)
- Equipment and Supplies – School Age DHS-4946 (PDF) (09/02)
- Equipment and supplies – Toddler DHS-4944 (PDF) (09/02)
- Experienced Aide Report DHS-5271 (PDF) (11/07)
- Guidelines for Developing Policies and Procedures (PDF) (08/16)
- Health Care Summary (PDF) (01/01)
- Immunization Record (PDF) (12/13)
- Serious Injury and Death Reporting (PDF) (01/18)
- Serious Injury and Death Reporting (Word) (01/18)
- In-service Training Record (PDF) (02/18)
- Maltreatment of Minors Mandated Reporting Policy (PDF) (12/16)
- Monthly Crib Safety Inspection (PDF) (08/13)
- Optional Form for Parent Statement: Infant Less Than Six Months of Age Regularly Rolling Over DHS-7219 (PDF) (03/14)
- Orientation Checklist (PDF) (12/17)
- Parental Consent for Swaddling an Infant DHS-7218 (PDF) (07/13)
- Personnel Information (PIF) (PDF) (08/18)
- Physician Directive for Alternative Infant Sleep Position DHS-7216 (PDF) (07/13)
- Risk Reduction Plan sample form (PDF) (11/12)
- Separation Report DHS-5862 (PDF) (07/09)
- Staffing Pattern Documentation (PDF) (11/15)
- Summary of Personnel Information (PDF) (04/18)
- Unqualified substitute report (PDF) (01/01)
- Variance request DHS-3141 (PDF) (03/18)
Websites
Infectious Diseases in Child Care - Hennipin County
Child Care-State of MN
Child Care-Child Development Services
Child Care Assistance Program - State of MN
How to become a licensed daycare provider (Family day care or center based child care)