Start with the registered Family Child Care Home pathway. The agency separates startup materials from forms used after approval; family child care facilities and centers have different packets.
Agency: Department of Human Services, Bureau for Family Assistance 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
Family Child Care Homes Initial and Renewal Application
Apply for initial registration or renewal.
Applies to
Registered family child care homes
Who completes it
Applicant or renewing provider
Where it goes
Follow packet mailing instructions and the assigned regulatory specialist.
When to use or update
At initial application or renewal; submission lead time was not verified.
Format and applicability: Scanned PDF; detailed fields were not text-readable.
Track approved training and supporting attendance certificates.
Applies to
Registered family child care caregivers
Who completes it
Caregiver/provider
Where it goes
Maintain with provider records during the registration period.
When to use or update
Add completed training during each registration period.
Format and applicability: Agency PDF; exact use of this layout is not stated as mandatory. Training-hour guidance on the older form should be checked against current rules.
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.
The Disaster Planning Form link on the home page opens a 2025 PDF labeled for centers and family child care facilities. Confirm the correct home template before relying on it.
This collection does not cover the separate family child care facility certification pathway.
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. Family Child Care Homes Initial and Renewal Application
2. Child Health Assessment (ECE-CC-3)
3. Emergency Information/Permission Form for Children in Child Care Settings (ECE-CC-10E)
4. Medication Permission Slip (ECE-CC-25)
5. Provider Training Record (ECE-CC-22)
6. Child Care Provider Incident Report Form (ECE-CC-26)
7. Child Care Request for Payment
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 West Virginia 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.
