Provider Path · Free forms & records guide

Connecticut child care paperwork.

OEC publishes a dedicated family-home collection, including enrollment, medical authorization and sample emergency planning forms.

Agency: Connecticut Office of Early Childhood, Division of Licensing
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

Official agency form

Initial Family Child Care Home Application

Apply for initial home license and assemble attachments.

Applies to: Family child care home applicants
Who completes it: Applicant
Where it goes: OEC Licensing; use packet’s current directions.
When to use or update: Before providing licensed care.

Format and applicability: 21-page PDF; do not substitute center/group-home application.

Open official source: Initial Family Child Care Home Application ↗https://www.ctoec.org/forms-documents/dcfh-initial-application.pdf

Official instructions / portal

Notify Licensing About Changes to Your Program

Report changes affecting licensed services, including address changes.

Applies to: Licensed family child care homes
Who completes it: Provider
Where it goes: OEC online notification.
When to use or update: When services differ from license/application.

Format and applicability: Online form; notification does not itself authorize a change.

Open official source: Notify Licensing About Changes—Family Child Care Home ↗https://www.ctoec.org/licensing/family-child-care-homes/program-changes-notification-fcch/

Children’s files

Official agency form

Child Enrollment Form / Emergency Medical Care

Document child enrollment and emergency contacts.

Applies to: Family child care homes
Who completes it: Parent/guardian
Where it goes: Child’s file.
When to use or update: Enrollment and changed information.

Format and applicability: One-page PDF; distinct from separate written activity permissions.

Open official source: Child Enrollment Form—Family ↗https://www.ctoec.org/forms-documents/child-enrollment-emergency-medical-care-form-family.pdf

Official agency form

Early Childhood Health Assessment Record

Document health history, examination and immunizations.

Applies to: Children birth to age five
Who completes it: Parent and health professional
Where it goes: Child’s health file.
When to use or update: Enrollment and required health updates.

Format and applicability: Four-page PDF.

Open official source: Early Childhood Health Assessment Record ↗https://www.ctoec.org/forms-documents/early-childhood-health-assessment

Official instructions / portal

Records to Be Maintained on Premises

Audit child, provider, posted and emergency records.

Applies to: Family child care homes
Who completes it: Provider
Where it goes: On premises for inspection.
When to use or update: Enrollment, staffing changes and inspections.

Format and applicability: One-page checklist; consult regulations for complete requirements.

Open official source: Records to Be Maintained on Premises ↗https://www.ctoec.org/forms-documents/dcfh-records-to-be-maintained-on-premise.pdf

Safety & daily records

Required record

Authorization for Administration of Medication and MAR

Document medication order, permission and doses.

Applies to: Licensed homes administering medication
Who completes it: Prescriber, parent and administering personnel
Where it goes: Program’s medication/child records.
When to use or update: Written authorization before administration; record doses as given.

Format and applicability: Use two-sided document or attach both pages, as instructed.

Open official source: Medication Authorization and Administration Record ↗https://www.ctoec.org/forms-documents/authorization-for-administration-of-medication.pdf/

Optional template

Emergency Plan (Sample)

Adapt evacuation, sheltering, relocation and children’s individual supports.

Applies to: Family child care homes
Who completes it: Provider
Where it goes: Accessible program emergency records.
When to use or update: Prepare before operation; review with staff and when arrangements change.

Format and applicability: Two-page PDF; sample format is optional.

Open official source: Emergency Plan (Sample) ↗https://www.ctoec.org/forms-documents/family-child-care-emergency-plan-sample.pdf

Provider & staff files

Official agency form

Adult Medical Statement

Document adult health evaluation.

Applies to: Family-home providers and applicable household members
Who completes it: Health professional
Where it goes: Provider/licensing file as instructed.
When to use or update: Application and required updates; check current rule.

Format and applicability: One-page PDF; covered individuals and timing need regulation check.

Open official source: Adult Medical Statement ↗https://www.ctoec.org/forms-documents/adult-medical-statement/

What this review covers

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.

Connecticut separates family homes, large family homes and centers/group homes; confirm correct license path.
Care 4 Kids and CACFP enrollment/billing records are outside this licensing selection.

Use the agency’s current original and revision instructions. Keep confidential child and staff records in your own secure record system.

Report a changed form or link →

Provider Path · Reusable planning companion

Connecticut paperwork organizer

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. Initial Family Child Care Home Application
2. Notify Licensing About Changes to Your Program
3. Adult Medical Statement
4. Child Enrollment Form / Emergency Medical Care
5. Early Childhood Health Assessment Record
6. Authorization for Administration of Medication and MAR
7. Emergency Plan (Sample)
8. Records to Be Maintained on Premises
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 Connecticut source review dated September 14, 2026. Provider Path educational planning sheet.

Check the form and your provider type.

Application & renewal

Initial Family Child Care Home Application

Notify Licensing About Changes to Your Program

Children’s files

Child Enrollment Form / Emergency Medical Care

Early Childhood Health Assessment Record

Records to Be Maintained on Premises

Safety & daily records

Authorization for Administration of Medication and MAR

Emergency Plan (Sample)

Provider & staff files

Adult Medical Statement

What this review covers

Connecticut paperwork organizer

Questions and next steps

Use your existing tools alongside these sources.