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Application Packets & Forms


 

Notice:

In response to the COVID-19 pandemic, Child Care Development Fund (CCDF) supplemental funds allocated by the American Rescue Plan Act of 2021 (ARP) will be used to provide financial support to child care providers throughout the state of Kansas. The Kansas Department for Children and Families is partnering with KDHE to offer support to child care providers by waiving the application and background check fees beginning September 1, 2021 through September 30, 2023. Comprehensive background check fees will be paid for all currently licensed providers and new affiliates (individuals living, working, or volunteering in a facility). All application fees will be paid. If you have questions, please call 785-296-1270 or email kdhe.cclr@ks.gov.


To submit your paper Renewal Application, you will need to complete and return the following:

  1. Application for your Program Type (Ex: Licensed Day Care Home, Child Care Center, School Age Program, etc.).
  2. Form CCL 002 Background and Registry Checks for Child Care Facilities using form CCL 002a to determine appropriate role for each affiliate.
  3. License fee.

*Note - if you are a School Age Program, you are required to also submit form CCL 355 Program Director's Annual Report.

Click on your Program Type below to access the required forms.

EARLY CARE AND YOUTH PROGRAMS FORMS

 

HandprintsKansas State Fire Marshal
(785) 296-3401