State forms distinguish licensed homes, group homes and centers from license-exempt relative or in-home assistance providers.
Agency: Alaska Department of Health, Child Care Program Office Paperwork source review: September 14, 2026
Use your print window to print on paper or save as a PDF. The organizer is a planning aid for your files.
Check the form and your provider type.
An official agency form is issued or listed by the agency; that label alone does not establish mandatory use. A required state form is identified as mandatory in the cited instructions. A required record identifies information you must maintain; its format may be flexible. An optional template is a suggested format. Official instructions / portal links explain the application or record process.
Read “Applies to” and “Format and applicability” for each item. Home, group-home, center, local licensing, food-program, and subsidy requirements can differ.
Application & renewal
01
Official agency form
Application for Provisional Child Care License
Form CC52
Describe proposed operation, household and licensing history.
Applies to
State-licensed homes, group homes and centers
Who completes it
Owner/applicant and administrator
Where it goes
Child Care Program Office/licensing specialist.
When to use or update
Initial application.
Format and applicability: Five-page PDF; verify current submission route.
Selected official forms and public instructions were reviewed on September 14, 2026. This is a practical starting list, not a complete certification of every record, retention period, local rule, or individual application.
Anchorage has municipal licensing; verify which authority and form applies to the address.
Public forms do not establish every renewal deadline or current portal workflow.
Use the agency’s current original and revision instructions. Keep confidential child and staff records in your own secure record system.
Use this sheet to check which items apply to your program. A listed item or a checked box does not establish that your program meets licensing requirements.
Program / provider type:
Licensing office / reviewer:
Date checked / rule or packet edition:
Form or instruction
Applies? Yes / No / Ask
Received / completed
Location / next review
1. Application for Provisional Child Care License (CC52)
2. Application for Biennial Child Care License (CC94)
3. Child Emergency Information (CC47)
4. Emergency Evacuation Drill Report (CC63)
5. Administrator Designation and Qualification (CC56)
6. Licensed Provider Child Care Assistance Application (CC41)
Other local or agency document
Food-program / subsidy documents
Questions and next steps
Ask about required format, signatures, submission, update triggers, and retention. Record the agency’s answer and the person or written source that confirmed it.
Companion to the Alaska source review dated September 14, 2026. Provider Path educational planning sheet.
Use your existing tools alongside these sources.
Keep official licensing records with your program’s business records. Provider Path’s editable agreement, handbook, and daily forms can help organize your work; check the state instructions before choosing a format.
