Provider Path · Free forms & records guide

New Hampshire child care paperwork.

Licensing and Child Care Scholarship enrollment use separate paperwork. The linked rules identify current forms and permitted equivalent records.

Agency: New Hampshire Department of Health and Human Services (DHHS), Child Care Licensing Unit and Child Care Scholarship program
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 instructions / portal

Application for Family Child Care Program

Apply for licensing.

Applies to: Family child care applicants
Who completes it: Applicant
Where it goes: NHCIS or CCLU.
When to use or update: Before operating.

Format and applicability: Rule names August 2025 form; download not inspected.

Open official source: NH He-C 4002.02 ↗https://gc.nh.gov/rules/state_agencies/he-c4000.html

Children’s files

Required record

Child Care Registration and Emergency Information

Record contacts and emergency permissions.

Applies to: Licensed programs, including family homes
Who completes it: Parent/guardian
Where it goes: Child's program file.
When to use or update: By first attendance day.

Format and applicability: August 2025 form or equivalent including required data and parent statements.

Open official source: NH He-C 4002.10 ↗https://gc.nh.gov/rules/state_agencies/he-c4000.html

Safety & daily records

Required record

Fire and Emergency Operations Plan Drill Records

Document emergency practice.

Applies to: Licensed programs, including homes
Who completes it: Provider
Where it goes: Onsite/readily available at least one year.
When to use or update: After drills; fire drills monthly.

Format and applicability: Record requirement; exact template not verified.

Open official source: NH He-C 4002.05(m) ↗https://gc.nh.gov/rules/state_agencies/he-c4000.html

Provider & staff files

Required record

Child Care Personnel Health Form

Document fitness for care.

Applies to: Staff/household classroom caregivers with 5+ hours weekly; school-employee exception
Who completes it: Health professional
Where it goes: Program personnel file.
When to use or update: Within 60 days; initial examination within preceding 12 months.

Format and applicability: August 2025 form or equivalent.

Open official source: NH He-C 4002.09 ↗https://gc.nh.gov/rules/state_agencies/he-c4000.html

Food program & subsidy

Required record

Child Care Provider Enrollment and Provider Agreement

Form 1862; 1860

Establish provider enrollment and agreement to scholarship requirements.

Applies to: Licensed and license-exempt providers enrolling in employment-related Child Care Scholarship
Who completes it: Provider
Where it goes: Submit to DHHS for each child care location.
When to use or update: At enrollment; agreement is also required for three-year renewal.

Format and applicability: Rules identify official forms; obtain current downloads from DHHS. License-exempt providers have additional requirements.

Open official source: NH He-C 6914.04 and 6914.06 ↗https://gc.nh.gov/rules/state_agencies/he-c6900.html

Required record

Weekly Child Care Scholarship Attendance Record

Document program, service date, child name, arrival/departure and parent signature.

Applies to: Providers billing DHHS Child Care Scholarship
Who completes it: Provider records care; parent signs
Where it goes: Retain three years for each billed week; supply to DHHS within seven business days of written request.
When to use or update: Each billed week.

Format and applicability: Parent signature may be original or electronic; no single mandatory layout established.

Open official source: NH He-C 6918.04(d)–(o) ↗https://gc.nh.gov/rules/state_agencies/he-c6900.html

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.

DHHS form downloads returned access errors during review. Links therefore point to successfully opened official rules documenting the records, not inspected blank forms.
Use Part He-C 4002 for day care; the same chapter also contains separate residential-care and camp rules.
For renewal packets and current blank forms, obtain directions from CCLU; the public licensing page is https://www.dhhs.nh.gov/programs-services/childcare-parenting-childbirth/child-care-licensing.

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

New Hampshire 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. Application for Family Child Care Program
2. Child Care Registration and Emergency Information
3. Child Care Personnel Health Form
4. Fire and Emergency Operations Plan Drill Records
5. Child Care Provider Enrollment and Provider Agreement (1862; 1860)
6. Weekly Child Care Scholarship Attendance Record
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 New Hampshire source review dated September 14, 2026. Provider Path educational planning sheet.

Check the form and your provider type.

Application & renewal

Application for Family Child Care Program

Children’s files

Child Care Registration and Emergency Information

Safety & daily records

Fire and Emergency Operations Plan Drill Records

Provider & staff files

Child Care Personnel Health Form

Food program & subsidy

Child Care Provider Enrollment and Provider Agreement

Weekly Child Care Scholarship Attendance Record

What this review covers

New Hampshire paperwork organizer

Questions and next steps

Use your existing tools alongside these sources.