Michigan separates home paperwork from center materials. Several current CCL forms replace earlier BCAL editions; use the current agency download.
Agency: Michigan Department of Lifelong Education, Advancement, and Potential (MiLEAP), Child Care Licensing Bureau 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
Apply for a Child Care Home License
Start the home licensing process.
Applies to
Family and group child care home applicants
Who completes it
Applicant
Where it goes
Follow MiLEAP application instructions.
When to use or update
Before opening; follow the application checklist.
Format and applicability: Public instructions; application account may be needed.
Working compliance checklist; underlying records stay in their appropriate files.
When to use or update
During setup and before inspections; verify current rules with licensor.
Format and applicability: Agency checklist, not a replacement for individual forms; filename retains BCAL.
Open official source: Child Care Home Record Requirements (CCL-5040) ↗https://www.michigan.gov/mileap/-/media/Project/Websites/mileap/Documents/Early-Childhood-Education/CCLB/Forms/BCAL-5040_12_15_fillable.pdf?hash=103901A32FA1DD78AE53E3A9C5636182&rev=690a3c0c8bb244cd93241a3fad20369d
Children’s files
02
Official agency form
Child Information Record
Form CCL-3731
Document contacts, pickup permissions, health needs and emergency treatment consent.
At enrollment; parent updates changed information.
Format and applicability: Official PDF. Instructions require unknown or none where applicable, rather than blanks or N/A.
Open official source: CCL-3731 Child Information Record ↗https://www.michigan.gov/mileap/-/media/Project/Websites/mileap/Documents/Early-Childhood-Education/CCLB/ADA/Forms/CCL-3731-Child-Information-Record.pdf?hash=3C3B85BE3D3FC7C2878591EEBFAA5C9C&rev=3d9141e4da51434cac77b37c864d4310
03
Official agency form
Child in Care Statement/Receipt
Form CCL-3900
Record policy receipt, health/immunization statements, household disclosures and food arrangements.
Applies to
Family and group child care homes
Who completes it
Parent/guardian and licensee
Where it goes
Child's program file.
When to use or update
At intake; update health or program information when it changes.
Format and applicability: PDF revised August 3, 2026; document marks earlier editions obsolete despite older filename.
Open official source: CCL-3900 Child in Care Statement/Receipt ↗https://www.michigan.gov/mileap/-/media/Project/Websites/mileap/Documents/Early-Childhood-Education/CCLB/Forms/Child-Care-Homes/CCL---3900-PDF-Version-6-24.pdf?hash=6E29259EECD4760B36235AC6409E806A&rev=d1ed5ebbfa2646f388350993f2945358
Safety & daily records
04
Official agency form
Medication Permission and Instructions
Form CCL-1243
Document medication directions and actual administration.
Applies to
Child care homes and centers administering medication
Who completes it
Parent authorizes; administering staff/licensee records doses
Where it goes
Program medication record for the child.
When to use or update
Before administration; new permission after an interruption. Form recommends reviewing ongoing medication every three months.
Format and applicability: Two-page PDF revised June 4, 2026.
Open official source: CCL-1243 Medication Permission and Instructions ↗https://www.michigan.gov/mileap/-/media/Project/Websites/mileap/Documents/Early-Childhood-Education/CCLB/ADA/Forms/CCL-1243-Medication-Permission-Form.pdf?hash=89F7750F47B8F2672024AD9E8A541482&rev=35ee9fac80554caf9e35ec86c684ee7d
07
Official agency form
Fire and Tornado Drill Record for Homes and Centers
Form CCL-4593
Record drill type, date, time, evacuation duration and conducting staff.
Applies to
Licensed child care homes and centers
Who completes it
Provider or staff conducting each drill
Where it goes
Program emergency drill records.
When to use or update
Complete after drills; form groups required fire drills quarterly, two tornado drills March–November and annual emergency scenarios.
Format and applicability: One-page PDF revised September 30, 2025. Its folder and metadata say centers, but the actual form covers both.
Assess physical and mental suitability to care for children independently.
Applies to
Home applicants/licensees and individuals being evaluated to provide care
Who completes it
Patient and physician
Where it goes
Release authorizes the home and MiLEAP to receive medical information; follow licensing submission instructions.
When to use or update
During qualification or when licensing requests clearance; no universal renewal interval verified.
Format and applicability: Official PDF; required use for every staff role was not independently established.
Open official source: CCL-3704 Medical Clearance Request ↗https://www.michigan.gov/mileap/-/media/Project/Websites/mileap/Documents/Early-Childhood-Education/CCLB/Forms/Child-Care-Homes/CCL-3704_PDF.pdf?hash=7931FCB9618DD36754FDA669A66AD1F9&rev=b155ea4e6aae42049bc0f61a6a477077
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.
Subsidy and CACFP enrollment paperwork were not verified in this selection.
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. Apply for a Child Care Home License
2. Child Information Record (CCL-3731)
3. Child in Care Statement/Receipt (CCL-3900)
4. Medication Permission and Instructions (CCL-1243)
5. Medical Clearance Request (CCL-3704)
6. Family and Group Home Record Requirements (CCL-5040)
7. Fire and Tornado Drill Record for Homes and Centers (CCL-4593)
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 Michigan 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.
