Forms
To look at and print the forms, you may need to install Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, click here to download it for FREE.
General Forms
- On-line Care 4 Kids Application
- Care 4 Kids Application Form (English) Solicitud de Care 4 Kids (Español)
- Parent Provider Agreement Form (PPA) (English) Formulario del Acuerdo Entre Padre y Proveedor (PPA) (Español)
- Care 4 Kids Redetermination Form (English) Redeterminación de Care 4 Kids (Español)
- IRS W9 form (English Only)
Other Forms
- Protective Services Self-Attestation Form (English) Formulario de Autocertificación de Servicios de Protección (Español)
- Summer PPA Form (English) Formulario PPA del Verano (Español)
- Self-Employment Form (English) Forma de Trabajo por Cuenta Propia (Español)
- Special Needs Verification Form (English)
- Disability Verification Form (English)
- Hearing Request Form (English) Formulario Para Solicitar Una Audiencia (Español)
- School Vacation PPA (Alternate Care Providers) (English) Vacaciones Escolares Formulario PPA (Proveedores Alternativos) (Español)
- Payment Adjustment Request Form
- Release of Information Form (English) Liberacion de Informacion (Español)
OEC Reimbursement and Bonus Forms
- OEC Family Child Care $40 License Fee Reimbursement Fact Sheet and Application Licencia de Cuidado Infantil Familiar Reembolso Único de Tarifa $40 Hoja de Hechos y Solicitud (Español)
- OEC Family Child Care $500 License Bonus Fact Sheet and Application Bonificación de Licencia de Cuidado Infantil Familiar Bono Único $500 Hoja de Hechos y Solicitud (Español)
- Family Child Care CDA $500 One-Time Bonus Fact Sheet CDA Bono Único $500 Hoja de Hechos (Español)
- Family Child Care NAFCC $750 One-Time Bonus Fact Sheet NAFCC Bono Único $750 Hoja de Hechos (Español)
Sample Certificate and Payment Documents
- Sample Child Care Certificate (English) Ejemplo de Certificado de Cuidado de Niños (Español)
- Sample Online Electronic Invoice
- Sample Provider Electronic Payment Summary
You can also send in a request for forms to be mailed to you from here: click here to send in a Request for forms by mail.
Or you can call 1-888-214-5437 and ask a representative to send you the forms you need.