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Provider Path · Free forms & records guide

Kansas child care paperwork.

KOEC now administers child care licensing and says existing policies remain effective. It has a new forms hub; the reviewed KDHE-issued documents below need current routing confirmation.

Agency: Kansas Office of Early Childhood (KOEC), effective July 1, 2026
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 instructions / portal

KOEC family child care forms and application routing

Locate current application, forms, background checks and licensing specialist.

Applies to
Family child care homes
Who completes it
Applicant/licensee
Where it goes
KOEC licensing; current contact is KOEC.cclr@ks.gov.
When to use or update
Before submitting any legacy KDHE document.

Format and applicability: Public hub; its family-home forms subpage intermittently returned 403.

Open official source: KOEC Child Care Licensing ↗https://www.koec.ks.gov/providers/child-care-licensing
02
Official agency form

Application for a New Family Child Care Home

Form CCL 201

Records proposed operations, ownership and home details.

Applies to
New family-home programs, relocation, ownership or program-type changes
Who completes it
Owner/applicant
Where it goes
Confirm current form and submission route with KOEC; printed KDHE routing is legacy.
When to use or update
After orientation; use for the application/change types checked on the form.

Format and applicability: Legacy official PDF; residential and commercial settings are distinguished.

Open official source: CCL 201, revision 06/2025 ↗https://www.kdhe.ks.gov/DocumentCenter/View/867/CCL-201-Application-for-a-NEW-LDCH-and-GDCH-PDF
03
Official agency form

Renewal Application for a Family Child Care Home

Form CCL 202

Requests another year of licensure without operational changes.

Applies to
Existing family child care homes renewing with no changes
Who completes it
Owner/licensee
Where it goes
Verify KOEC's current renewal process; old PDF lists KDHE.
When to use or update
Before license expiry under the renewal notice.

Format and applicability: Legacy official three-page PDF; submission/fee statements must be checked with KOEC.

Open official source: CCL 202, revision 06/2025 ↗https://www.kdhe.ks.gov/DocumentCenter/View/28692/CCL-202-Renewal-App-LDCH-GDCH-PDF

Children’s files

04
Required record

Medical Record

Form CCL 029

Collects medical history, immunizations and supporting child health assessment.

Applies to
FCC enrolled children under 10 and resident children under 16, as stated in the form
Who completes it
Parent/guardian; provider maintains file
Where it goes
Keep at the child care facility.
When to use or update
At enrollment; form includes annual-review signatures and requires immunizations to remain current.

Format and applicability: Official PDF; Kansas Certificate of Immunizations may replace its immunization page.

Open official source: CCL 029, revision 02/2026 ↗https://www.kdhe.ks.gov/DocumentCenter/View/42041/CCL029-and-CCL-029a-Medical-Record-PDF
05
Official agency form

Short-Term Medication Authorization

Form CCL 026

Documents medication instructions, permission and administration.

Applies to
Homes and other child care settings administering short-term medication
Who completes it
Parent authorizes; administering person logs doses
Where it goes
Provider's medication/child record.
When to use or update
Before medication is administered, then each administration.

Format and applicability: Official two-page PDF; CCL 027 is separately listed for long-term medication.

Open official source: CCL 026, revision 07/2024 ↗https://www.kdhe.ks.gov/DocumentCenter/View/911/CCL-026-Short-Term-Medication-Authorization-PDF

Safety & daily records

06
Official agency form

Critical Incident Report

Form CCL 028a

Reports injury, death and incidents jeopardizing child safety.

Applies to
Family homes, centers, preschools and school-age programs
Who completes it
Provider/person reporting
Where it goes
Use KOEC's current critical-incident reporting channel; retain documentation.
When to use or update
After a reportable incident; consult current reporting FAQ for deadlines.

Format and applicability: Legacy official PDF; do not rely on its former KDHE email without confirmation.

Open official source: CCL 028a, revision 07/2024 ↗https://www.kdhe.ks.gov/DocumentCenter/View/741

Provider & staff files

07
Optional template

Family Child Care Home Orientation Checklist

Form CCL 400

Documents orientation to policies, emergency procedures, supervision and health practices.

Applies to
FCC employees/volunteers
Who completes it
Person conducting orientation and person oriented
Where it goes
Staff/orientation file.
When to use or update
Orientation occurs before sole responsibility for children under the rule quoted in the form.

Format and applicability: Official optional PDF; orientation obligation is distinct from optional checklist format.

Open official source: CCL 400, revision 07/2024 ↗https://www.kdhe.ks.gov/DocumentCenter/View/865/CCL-400-Orientation-Checklist-for-LDCH-and-GDCH-PDF

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.

  • KDHE's licensing homepage says it is no longer updated and redirects users to KOEC.
  • New KOEC family-home subpage could not be consistently fetched. Reviewed legacy documents are offered as official reference copies with current-routing cautions, not confirmed latest KOEC editions.
  • Do not carry forward old KDHE fees, mailing addresses or emails without checking KOEC.
  • Subsidy participation paperwork was not verified in this pass.

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

Kansas 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 instructionApplies?
Yes / No / Ask
Received / completedLocation / next review
1. KOEC family child care forms and application routing
2. Application for a New Family Child Care Home (CCL 201)
3. Renewal Application for a Family Child Care Home (CCL 202)
4. Medical Record (CCL 029)
5. Short-Term Medication Authorization (CCL 026)
6. Critical Incident Report (CCL 028a)
7. Family Child Care Home Orientation Checklist (CCL 400)
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 Kansas source review dated September 14, 2026. Provider Path educational planning sheet.