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Forms & Resources for Daycare Providers

Forms & Resources for Daycare Providers

Daycare Children File Forms

Checklist for Children's Records (PDF)
Permission to Administer Form (PDF)
Family Child Care Admission & Arrangements
Immunization Record Form
Liability Insurance Notice to Parents or Guardians (annual update required)
Family Child Care Allergy Information Form
Family Daycare Supplemental Form (PDF)
Transportation and Field Trip Authorization Form (PDF)
Maltreatment of Minors Mandated Reporting (must provide copy to parent)
Day Care Accident/Incident Report Form (PDF)

Wading Pool
Swimming Pool
- Swimming Pool Permission Form
- Swimming Pool Risks
Infant Forms
- Directive for the Alternative Infant Sleep Position
- Swaddling Consent for an Infant
- Infant Rolling Over Parent Statement (for infants 6 months and under)

Enrollment & Miscellaneous Forms

Monthly Crib Safety Inspection Form
Benton County Fence Guidelines (PDF)
Fire and Storm Drill Log
Emergency Preparedness Plan
Emergency Preparedness Plan Addendum

Background Studies

Family Child Care Data Collection Form (PDF)
Background Study Notice of Privacy Practices (PDF)

Additional Resources and Information

Training Requirements for Licensed Family Child Care
Child Care Assistance Plan (PDF)
Age Group Definitions-Day Care Capacity (PDF)
Helping Your Family Adjust to Child Care (PDF)
Local Fire Marshal Inspectors/Guidelines (PDF)
Fire Marshal Day Care Information Sheet (PDF)
Resources for Child Care Programs

Provider Policies-Required Items (PDF)
Sample Day Care Contract (PDF)
Keeping Kids Safe
DEVELOP
Center for Inclusive Child Care
Hennepin County Infectious Disease Manual
Wayfinder Local Contacts (PDF)

Variance Request Packet

Variance Policy (for your information)
Variance Request Form (must complete)
Child Care Weekly Attendance Schedule (must complete for capacity variance)
Variance Request Notice for Parents (must complete for capacity variance)
Variance Calendars (PDF) (optional)

Rules & Statutes

Rule and Statute Summary
Minnesota Administrative Rules-Chapter 9502
Minnesota Statutes 2020 (PDF)

Mandated Reporting

Resource Guide for Mandated Reporters
Reporting Policy for Benton County (PDF)
Suspected Maltreatment Report Form (PDF)
Maltreatment Report Form (fillable)

ARPA Reimbursement Program

Effective 6/15/22 to 12/15/24, or until all funds are exhausted.

Invoice for New Providers (up to $500)
Invoice for Current Providers (up to $75)

Becoming a Provider
CPR & First Aid Resources
Finding a Daycare Provider
Forms & Resources for Daycare Providers
General Resources
Licensed Daycare Providers
SUID/AHT Training Videos

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Frequently Asked Questions

Contact Us

Benton County Government Center
531 Dewey Street
P.O. Box 129
Foley, MN 56329

Phone: 320-968-5000

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