Licensing forms are available as printable PDF documents below. They must be completed manually.
Begin opening a form by clicking on its name or number. Next print the form and then fill in the required responses. Then mail the document to the appropriate Office of Child Care Regional Licensing Office.
If you have any questions about the use of a form, please contact your Regional Licensing Office.
Please note that the following indicators are used to define what type of child care facility each form represents:
(HOME/LFCCH) - family child care homes (small) and large family child care homes
(HOME) - family child care homes (small) only
(LFCCH) - large family child care homes only
(CTR/LOC) - child care centers and letter of compliance facilities
(CTR) - child care centers only
(LOC) - letter of compliance facilities only
(ALL) - centers, homes (small and large), and letter of compliance facilities
Please print the desired "checklist" to use as a guide to select the appropriate forms required.
 Record of Pre-Service Training for Family Child Care: Prior to becoming registered, Family Child Care providers are required to complete a minimum of 4 clock hours of approved training in each of the 6 Core of Knowledge areas in addition to other mandated training. The Core of Knowledge areas are: Child Development (Child Dev), Curriculum (Curr), Heath, Safety and Nutrition (HSN), Special Needs (Spe N), Professionalism (Prof), and Community (Comm).
 Application to Resume Service (Family): This form is used to apply for a family day care registration: At a new address, if the last effective date of the registration at the previous address was not more than 6 months ago; or After a break in service of not more than 6 months, from the last effective date of the previous registration.
 Child Care Center Application for License (LOC): This form may be used to apply for a Child Care Center License or a Letter of Compliance
 Worker’s Compensation Insurance Information (LFCCH / CTR / LOC)
 Personnel List and Staff Change Report (LFCCH / CTR / LOC)
 Personnel List and Staff Change Report - (Fill-in Version ) (LFCCH / CTR / LOC)
 Personnel Information (LFCCH / CTR)
 Staffing Pattern (LFCCH / CTR / LOC)
 Personnel Qualification Evaluation (LFCCH / CTR)
 Change in Facilities (LFCCH / CTR / LOC): Child Care Center regulations (COMAR 13A.16.03.07) and Letter of Compliance regulations (COMAR 13A.17.03.07) require that any changes in operation be approved by the Office of Child care (OCC). Examples include capacity, hours of operation, rooms used for care, and ages of children served. Obtain written approval from OCC before making the proposed change.
 Variance Request (ALL)
 Emergency Form (ALL)
 Health Inventory (ALL)
 Menu Plans (LFCCH / CTR / LOC)
 Substitute Form (HOME / LFCCH)
 Emergency Escape Plan (HOME)
 Notice of Intent to Operate (CTR / LOC)
Accident/Injury Record (ALL)
Daily Attendance Record (ALL)
Disaster Drill Record (ALL)
Fire Drill Record (ALL)
Infant Toddler Checklist (HOME)
On-Call Agreement (LFCCH / CTR / LOC)
Staff Orientation Verification (LFCCH / CTR / LOC)
Substitute/Additional Adult/Volunteer Orientation Verification: This is the former substitute orientation verification form revised to include use by additional adults and volunteers – (revised 11/7/16) (HOME)