Results for Child Care Services Forms

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OCFS-LDSS-4781-HC - AVI KONSÈNAN ENTANSYON POU CHANJE AVANTAJ GADRI AK PEMAN KOTIZASYON FANMI
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2019
OCFS-LDSS-4781-RU - УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ИЗМЕНИТЬ ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ И СЕМЕЙНЫЕ ВЗНОСЫ
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Russian
Child Care: LDSS
Forms
2019
OCFS-LDSS-4781-TC - 意欲變更兒童照護福利與家庭分擔支付的通知
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2019
OCFS-LDSS-4781-BN - শিশু পরিচর্যা সুবিধাগুলি এবং ফ্যামিলি শেয়ার পেমেন্টগুলি পরিবর্তন করার অভিপ্রায়ের বিজ্ঞপ্তি
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Bengali
Child Care: LDSS
Forms
2019
OCFS-LDSS-4781-BN - শিশু পরিচর্যা সুবিধাগুলি এবং ফ্যামিলি শেয়ার পেমেন্টগুলি পরিবর্তন করার অভিপ্রায়ের বিজ্ঞপ্তি
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Bengali
Child Care: LDSS
Forms
2019
OCFS-LDSS-4781-YI - מעלדונג פון כוונה צו טוישן טשיילד קעיר בענעפיטן און פאמיליע חלק צאלונגען
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Yiddish
Child Care: LDSS
Forms
2019
OCFS-LDSS-4781-YI - מעלדונג פון כוונה צו טוישן טשיילד קעיר בענעפיטן און פאמיליע חלק צאלונגען
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Yiddish
Child Care: LDSS
Forms
2019
OCFS-LDSS-4784-HC - NOU APWOUVE DETÈMINASYON OU POU JWENN ÈD AK GADRI
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2019
OCFS-LDSS-4784-RU - ОДОБРЕНИЕ ПЕРЕОСВИДЕТЕЛЬСТВОВАНИЯ ДЛЯ ПОЛУЧЕНИЯ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Russian
Child Care: LDSS
Forms
2019
OCFS-LDSS-4784-TC - 關於您的兒童照護福利資格重定的核准
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2019
OCFS-LDSS-4784-BN - শিশু পরিচর্যা সুবিধার জন্য করা আপনার পুর্নর্নিধারণের অনুমোদন
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Bengali
Child Care: LDSS
Forms
2019
OCFS-LDSS-4784-BN - শিশু পরিচর্যা সুবিধার জন্য করা আপনার পুর্নর্নিধারণের অনুমোদন
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Bengali
Child Care: LDSS
Forms
2019
OCFS-LDSS-4784-YI - באשטעטיגונג פון אייער ווידער-באשטימונג פאר טשיילד קעיר בענעפיטן
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Yiddish
Child Care: LDSS
Forms
2019
OCFS-LDSS-4784-YI - באשטעטיגונג פון אייער ווידער-באשטימונג פאר טשיילד קעיר בענעפיטן
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Yiddish
Child Care: LDSS
Forms
2019
OCFS-LDSS-4785-HC - NOU APWOUVE AVANTAJ GADRI POU TRANZISYON OU AN
Approval of Your Transitional Child Care Benefits (Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2019
OCFS-LDSS-4785-RU - ОДОБРЕНИЕ ВЫПЛАТЫ ПОСОБИЯ ПО УХОДУ ЗА ДЕТЬМИ В ТЕЧЕНИЕ ПЕРЕХОДНОГО ПЕРИОДА
Approval of Your Transitional Child Care Benefits (Sample Only)
Russian
Child Care: LDSS
Forms
2019
OCFS-LDSS-4785-TC - 關於您過渡期兒童照護福利資格的核准
Approval of Your Transitional Child Care Benefits (Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2019
OCFS-LDSS-4785-BN - আপনার ট্রানজিশনাল শিশু পরিচর্যা সুবিধার জন্য অনুমোদন
Approval of Your Transitional Child Care Benefits (Sample Only)
Bengali
Child Care: LDSS
Forms
2019
OCFS-LDSS-4785-BN - আপনার ট্রানজিশনাল শিশু পরিচর্যা সুবিধার জন্য অনুমোদন
Approval of Your Transitional Child Care Benefits (Sample Only)
Bengali
Child Care: LDSS
Forms
2019
OCFS-LDSS-4785-YI - באשטעטיגונג פון אייערע טראנזישאנעל טשיילד קעיר בענעפיטן
Approval of Your Transitional Child Care Benefits (Sample Only)
Yiddish
Child Care: LDSS
Forms
2019
OCFS-LDSS-4785-YI - באשטעטיגונג פון אייערע טראנזישאנעל טשיילד קעיר בענעפיטן
Approval of Your Transitional Child Care Benefits (Sample Only)
Yiddish
Child Care: LDSS
Forms
2019
OCFS-LDSS-4785-TC - 關於您過渡期兒童照護福利資格的核准
Approval of Your Transitional Child Care Benefits (Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2019
OCFS-LDSS-4784-TC - 關於您的兒童照護福利資格重定的核准
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2019
OCFS-LDSS-4784-HC - NOU APWOUVE DETÈMINASYON OU POU JWENN ÈD AK GADRI
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2019
OCFS-LDSS-4784-RU - ОДОБРЕНИЕ ПЕРЕОСВИДЕТЕЛЬСТВОВАНИЯ ДЛЯ ПОЛУЧЕНИЯ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
Approval of Your Redetermination for Child Care Benefits (Sample Only)
Russian
Child Care: LDSS
Forms
2019
OCFS-LDSS-4785-HC - NOU APWOUVE AVANTAJ GADRI POU TRANZISYON OU AN
Approval of Your Transitional Child Care Benefits (Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2019
OCFS-LDSS-4785-RU - ОДОБРЕНИЕ ВЫПЛАТЫ ПОСОБИЯ ПО УХОДУ ЗА ДЕТЬМИ В ТЕЧЕНИЕ ПЕРЕХОДНОГО ПЕРИОДА
Approval of Your Transitional Child Care Benefits (Sample Only)
Russian
Child Care: LDSS
Forms
2019
OCFS-LDSS-4779-TC - 申請兒童照護福利批准通知
Approval of Your Application for Child Care Benefits (Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2019
OCFS-LDSS-4781-TC - 意欲變更兒童照護福利與家庭分擔支付的通知
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2019
OCFS-LDSS-4779-RU - ОДОБРЕНИЕ ЗАЯВЛЕНИЯ НА ПОЛУЧЕНИЕ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
Approval of Your Application for Child Care Benefits (Sample Only)
Russian
Child Care: LDSS
Forms
2019
OCFS-LDSS-4781-RU - УВЕДОМЛЕНИЕ О НАМЕРЕНИИ ИЗМЕНИТЬ ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ И СЕМЕЙНЫЕ ВЗНОСЫ
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Russian
Child Care: LDSS
Forms
2019
OCFS-LDSS-4779-HC - NOU APWOUVE APLIKASYON OU POU JWENN ÈD AK GADRI
Approval of Your Application for Child Care Benefits (Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2019
OCFS-LDSS-4781-HC - AVI KONSÈNAN ENTANSYON POU CHANJE AVANTAJ GADRI AK PEMAN KOTIZASYON FANMI
Notice of Intent to Change Child Care Benefits and Family Share Payments (Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2019
OCFS-6041-S - Registro de Limpieza y Desinfección
Cleaning and Disinfecting Log
Spanish
Child Care: All Providers
Forms
2020
OCFS-6039-S - Monitoreo de los Programas de Cuidado Infantil
Child Care Program Tracker
Spanish
Child Care: All Providers
Forms
2020
OCFS-6041 - Cleaning and Disinfecting Log
English
Child Care: All Providers
Forms
2020
OCFS-6041 - Cleaning and Disinfecting Log
English
Child Care: All Providers
Forms
2020
OCFS-6039 - Child Care Program Tracker
English
Child Care: All Providers
Forms
2020
OCFS-6011-S - Plan de Emergencia para Cuidado Diurno Familiar, Cuidado Diurno Familiar Grupal y Cuidado Infantil Informal Legalmente Exento
Emergency Plan G/FDC and Legally Exempt Informal Child Care
Spanish
Child Care: L/R Providers
Forms
2020
LDSS-4438-S - Plan de Emergencia para Centros de Cuidado Infantil Diurno, Programas de Cuidado de Niños en Edad Escolar y Programas de Cuidado Infantil de Grupo Legalmente Exento
Emergency Plan Child Day Care Centers, School Age Child Care Programs, and Legally Exempt Group Child Care Programs
Spanish
Child Care: L/R Providers
Forms
2020
LDSS-4438 - Emergency Plan Child Day Care Centers, School Age Child Care Programs, and Legally Exempt Group Child Care Programs
English
Child Care: L/R Providers
Forms
2020
OCFS-6011 - Emergency Plan G/FDC and Legally Exempt Informal Child Care
English
Child Care: L/R Providers
Forms
2020
OCFS-4887 - Request for Waiver
English
Child Care: L/R Providers
Forms
2020
OCFS-4887-S - Solicitud de Exención o Dispensación
Request for Waiver
Spanish
Child Care: L/R Providers
Forms
2020
OCFS-4887-S - Solicitud de Exención o Dispensación
Request for Waiver
Spanish
Child Care: L/R Providers
Forms
2020
OCFS-6051 - Emergency Employment Attestation for Adults
English
Child Care: All Providers
Forms
2020
OCFS-6051-S - Certificatión para Empleo de Emergencia para Adultos
Emergency Employment Attestation for Adults
Spanish
Child Care: All Providers
Forms
2020
OCFS-6051-S - Certificatión para Empleo de Emergencia para Adultos
Emergency Employment Attestation for Adults
Spanish
Child Care: All Providers
Forms
2020
LDSS-3370-S - Instrucciones para Completar el Formulario de Verificación de Datos del Registro Central del Estado
Instructions for Completing the Statewide Central Register Database Check Form
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-6001-S - Información de Proveedores de Cuidado Infantil, Personal, Voluntarios y Miembros del Hogar
Child Care Provider, Staff, Volunteer, and Household Member Information
Spanish
Child Care: All Providers
Forms
2020
OCFS-5014 - Parental Consent Form
English
Child Care: All Providers
Forms
2020
OCFS-5014 - Parental Consent Form
English
Child Care: All Providers
Forms
2020
OCFS-5014-S - Formulario de consentimiento para los padres
Spanish
Child Care: All Providers
Forms
2020
OCFS-5014-S - Formulario de consentimiento para los padres
Spanish
Child Care: All Providers
Forms
2020
OCFS-LDSS-7029-6 - Site Verification of Staff Records for Legally-Exempt Group Child Care Program
English
Child Care: Exempt Providers
Forms
2019
OCFS-LDSS-7029-2 - Corrective Action Plan for Legally-Exempt Group Child Care Program
English
Child Care: Exempt Providers
Forms
2019
OCFS-LDSS-7029-3 - Site Verification of Health Care Plan for Legally-Exempt Group Child Care Program
English
Child Care: Exempt Providers
Forms
2019
OCFS-LDSS-7029-4 - Supervision, Ratios and Group Sizes in Legally-Exempt Group Child Care Program
English
Child Care: Exempt Providers
Forms
2019
OCFS-LDSS-7028-4 - Site Verification of Staff Records for Legally Exempt Child Care Provider
English
Child Care: Exempt Providers
Forms
2019
OCFS-LDSS-7028-3 - Site Verification of Health Care Plan for Legally Exempt Child Care Provider
English
Child Care: Exempt Providers
Forms
2019
OCFS-6007-S - Registro de Simulacros de Refugio en el Lugar del Programa
Record of Shelter-in-Place Drills
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-6007 - Record of Shelter in Place Drills
English
Child Care: L/R Providers
Forms
2019
LDSS-4439 - Record of Evacuation Drills
English
Child Care: L/R Providers
Forms
2019
OCFS-LDSS-7021-TC - 健康照護方案 - 家庭日托/團體家庭日托/小型日托中心
Health Care Plan – Family Day Care, Group Family Day Care, Small Day Care Center
Chinese, traditional
Child Care: L/R Providers
Forms
2019
OCFS-4930-1 - Guidelines for Fingerprinting
English
Child Care: L/R Providers
Forms
2019
OCFS-4930-1-S - Guía para Obtener Huellas Dactilares
Guidelines for Fingerprinting
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-6002-S - Calificaciones-Programas de Cuidado Diurno Infantil
Qualifications-Child Day Care Programs
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-6022-S - Solicitud de Verificación de la Lista de Exclusión de Personal
Request for Staff Exclusion List Check
Spanish
Child Care: All Providers
Forms
2019
OCFS-6002 - Qualifications-Child Day Care Programs
English
Child Care: L/R Providers
Forms
2019
OCFS-6038-S - Solicitud de Cuidado Infantil
Request for Child Care
Spanish
Child Care: All Providers
Forms
2019
OCFS-6038 - Child Care Request Form
English
Child Care: All Providers
Forms
2019
OCFS-6025-KO - 보육 지원 신청서
Application for Child Care Assistance
Korean
Child Care: LDSS
Forms
2019
OCFS-6025-HC - APLIKASYON POU JWENN ÈD POU GADRI
Application for Child Care Assistance
Haitian Creole
Child Care: LDSS
Forms
2019
OCFS-6025-IT - DOMANDA DI RICHIESTA DI ASSISTENZA AI MINORI
Application for Child Care Assistance
Italian
Child Care: LDSS
Forms
2019
OCFS-6025-RU - ЗАЯВЛЕНИЕ НА ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ
Application for Child Care Assistance
Russian
Child Care: LDSS
Forms
2019
OCFS-6025-TC - 托兒補助申請表
Application for Child Care Assistance
Chinese, traditional
Child Care: LDSS
Forms
2019
OCFS-6025-BN - শিশু পরিচর্যার সহায়তার জন্য আবেদন
Application for Child Care Assistance
Bengali
Child Care: LDSS
Forms
2019
OCFS-6026-BN - কীভাবে শিশু পরিচর্যা সহায়তার জন্য আবেদনটি সম্পূর্ণ করবেন
How to Complete the Application for Child Care Assistance
Bengali
Child Care: LDSS
Forms
2019
OCFS-6026-TC - 如何填寫托兒補助申請表
How to Complete the Application for Child Care Assistance
Chinese, traditional
Child Care: LDSS
Forms
2019
OCFS-6026-IT - MODALITÀ DI COMPILAZIONE DELLA DOMANDA DI RICHIESTA DI ASSISTENZA AI MINORI
How to Complete the Application for Child Care Assistance
Italian
Child Care: LDSS
Forms
2019
OCFS-6026-HC - FASON POU RANPLI APLIKASYON POU ÈD POU PEYE SÈVIS GADRI
How to Complete the Application for Child Care Assistance
Haitian Creole
Child Care: LDSS
Forms
2019
OCFS-6026-KO - 보육 지원 신청서 작성 방법
How to Complete the Application for Child Care Assistance
Korean
Child Care: LDSS
Forms
2019
OCFS-6026-RU - ПОРЯДОК ЗАПОЛНЕНИЯ ЗАЯВЛЕНИЯ НА ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ
How to Complete the Application for Child Care Assistance
Russian
Child Care: LDSS
Forms
2019
OCFS-LDSS-4433 - Child In Care Medical Statement
English
Child Care: L/R Providers
Forms
2019
OCFS-LDSS-7009-BN - শিশু পরিচর্যা সহায়তা ওভারপেমেন্টের
এবং রিপেমেন্টের প্রয়োজনীয়তার বিজ্ঞপ্তি
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Bengali
Child Care: LDSS
Forms
2015
LDSS-4783-BN - শিশু পরিচর্যা সুবিধার জন্য অবাধ্য ফ্যামিলি শেয়ার
Delinquent Family Share for Child Care Benefits
(Sample Only)
Bengali
Child Care: LDSS
Forms
2015
LDSS-2221A-BN - সন্দেহজনক শিশু নির্যাতন বা অবহেলা সংক্রান্ত প্রতিবেদন
Report of Suspected Child Abuse or Maltreatment
Bengali
Child Care: L/R Providers
Forms
2016
OCFS-4411-BN - পটাশিয়াম আয়য়াডাইড (KI) প্রত্যাখান/পশিত্যাগ ফমম
Potassium Iodide (KI) Refusal/Opt-Out Form
Bengali
Child Care: L/R Providers
Forms
2019
OCFS-4411-HC - FÒM POU REFIZE/PA PRAN YÒDI POTASYÒM (POTASSIUM IODIDE, KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Haitian Creole
Child Care: L/R Providers
Forms
2019
OCFS-4411-TC - 關於拒絕/不參與使用碘化鉀 (KI) 的表單
Potassium Iodide (KI) Refusal/Opt-Out Form
Chinese, traditional
Child Care: L/R Providers
Forms
2019
OCFS-4411-KO - 요오드화칼륨(KI) 거부/비참여 양식
Potassium Iodide (KI) Refusal/Opt-Out Form
Korean
Child Care: L/R Providers
Forms
2019
OCFS-4411-PL - FORMULARZ ODMOWY/REZYGNACJI Z PODANIA JODKU POTASU (KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Polish
Child Care: L/R Providers
Forms
2019
OCFS-4411-RU - ФОРМА НЕСОГЛАСИЯ / ОТКАЗА ОТ ПРИЕМА ЙОДИДА КАЛИЯ (KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Russian
Child Care: L/R Providers
Forms
2019
OCFS-4411 - Potassium Iodide-KI Refusal-Opt-Out Form
English
Child Care: L/R Providers
Forms
2019
OCFS-4411-S - Formulario para Rehusar o No Optar por el Yoduro de Potasio (KI)
Potassium Iodide (KI) Refusal/Opt-Out Form
Spanish
Child Care: L/R Providers
Forms
2019
LDSS-3370 - Statewide Central Register Database Check Form and Instructions for Completing the (DCCS Version)
English
Child Care: L/R Providers
Forms
2019
LDSS-3370 - Statewide Central Register Database Check Form and Instructions for Completing the (DCCS Version)
English
Child Care: L/R Providers
Forms
2019
LDSS-7040 - Environmental Hazards Guidance Sheet
English
Child Care: L/R Providers
Forms
2019
OCFS-6008-S - Asistencia del Proveedor/Encargado de Cuidado, Empleado, Voluntario
Caregiver, Employee, Volunteer Attendance
Spanish
Child Care: L/R Providers
Forms
2014
LDSS-7002-S - Formulario de Consentimiento para Medicamentos
Medication Consent Form
Spanish
Child Care: L/R Providers
Forms
2015
LDSS-7002 - Medication Consent Form (Child Day Care Programs)
English
Child Care: L/R Providers
Forms
2015
OCFS-7043 - Plan of Study Commitment for Head of Group for Preschoolers Infants and Toddlers (WORD)
English
Child Care: L/R Providers
Forms
2018
OCFS-7044 - Plan of Study Commitment for Director of Day Care Center (WORD)
English
Child Care: L/R Providers
Forms
2018
LDSS-4553 - Child Care On Site Inspection Report
English
Child Care: LDSS
Forms
2017
LDSS-2221A-IT - Denunia di Abusi o Maltrattamenti Sospetti su Minori
Report of Suspected Child Abuse or Maltreatment
Italian
Child Care: L/R Providers
Forms
2016
LDSS-2221A-RU - СООБЩЕНИЕ О ПРЕДПОЛАГАЕМОМ
ЖЕСТОКОМ ИЛИ НЕНАДЛЕЖАЩЕМ ОБРАЩЕНИИ С ДЕТЬМИ
Report of Suspected Child Abuse or Maltreatment
Russian
Child Care: L/R Providers
Forms
2016
LDSS-2221A-TC - 涉嫌暴力或虐待兒童報告
Report of Suspected Child Abuse or Maltreatment
Chinese, traditional
Child Care: L/R Providers
Forms
2016
LDSS-2221A-HC - RAPÒ ABI OSWA MOVE TRETMAN OU SISPÈK
Report of Suspected Child Abuse or Maltreatment
Haitian Creole
Child Care: L/R Providers
Forms
2016
LDSS-2221A-KO - 아동 학대 및 부당취급 혐의 신고
Report of Suspected Child Abuse or Maltreatment
Korean
Child Care: L/R Providers
Forms
2016
OCFS-6019 - Outline of a Plan for Training Requirements
English
Child Care: L/R Providers
Forms
2017
OCFS-6036 - Child Support Obligation Statement
English
Child Care: L/R Providers
Forms
2017
OCFS-6035 - SACC Monthly Fire and Safety Inspection
English
Child Care: L/R Providers
Forms
2017
LDSS-7002-TC - 藥物同意表
Medication Consent Form
Chinese, traditional
Child Care: L/R Providers
Forms
2015
LDSS-7003-TC - 頭藥物同意表與施藥記錄 Verbal Medication Consent Form and Log of Administration
Chinese, traditional
Child Care: L/R Providers
Forms
2014
LDSS-7004-TC - 藥物施放記錄 Log of Medication Administration
Chinese, traditional
Child Care: L/R Providers
Forms
2014
OCFS-LDSS-7005-TC - 施藥失誤回報表
Medication Error Report Form
Chinese, traditional
Child Care: L/R Providers
Forms
2014
OCFS-6034 - Request To Provide Additional Shift Of Care
English
Child Care: L/R Providers
Forms
2019
OCFS-6032-S - Requisitos de Licencia/Registro para los Programas de Cuidado Diurno Infantil
License/Registration Requirements for Child Day Care Programs
Spanish
Child Care: L/R Providers
Forms
2016
OCFS-LDSS-7009-IT - NOTIFICA DI EROGAZIONE DI SUSSIDI PER MINORI IN ECCESSO E REQUISITI PER IL RIMBORSO
Notice of Child Care Overpayment and Repayment Requirements
(Sample Only)
Italian
Child Care: LDSS
Forms
2015
OCFS-6031 - List Of Children In Care
English
Child Care: L/R Providers
Forms
2016
OCFS-6032 - License/Registration Requirements For Child Day Care Programs
English
Child Care: L/R Providers
Forms
2016
OCFS-LDSS-7009-HC - AVI POU FÈ KONNEN PEMAN ANPLIS POU GADRI AK KONDISYON POU RANBOUSMAN
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2015
OCFS-LDSS-7009-RU - УВЕДОМЛЕНИЕ О ПЕРЕПЛАТЕ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ И ТРЕБОВАНИЯХ ПО ВОЗМЕЩЕНИЮ ЗАДОЛЖЕННОСТИ
Notice of Child Care Assistance Overpayment and Repayment Requirements
(Sample Only)
Russian
Child Care: LDSS
Forms
2015
OCFS-LDSS-7009-TC - 托兒援助超額付款與退款要求通知書
Notice of Child Care Assistance Overpayment and Repayment Requirements (Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2015
OCFS-LDSS-7009-KO - 보육비 지원 초과 지급 및 상환 요구 통지서
Notice of Child Care Assistance Overpayment and Repayment Requirements (Sample Only)
Korean
Child Care: LDSS
Forms
2015
LDSS-4783-TC - 托兒補助家庭自付額欠款通知
Delinquent Family Share for Child Care Benefits
(Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2015
OCFS-6023-S - Plan de Seguridad Relativo al Abuso y Maltrato Infantil (Centros de Cuidado Diurno y Programas para Niños en Edad Escolar)
Child Abuse and Maltreatment Safety Plan (DCC and SACC)
Spanish
Child Care: L/R Providers
Forms
2015
LDSS-4440 - Schedule of Daily Program Activities-Child Care Programs.dot
English
Child Care: L/R Providers
Forms
2015
OCFS-6005 - Criminal Conviction Statement-Child Day Care Programs
English
Child Care: L/R Providers
Forms
2019
OCFS-6028 - Staff Background Check Review Procedure
English
Child Care: L/R Providers
Forms
2015
OCFS-6021 - Menus, Meals and Snacks (DCC & SACC)
English
Child Care: L/R Providers
Forms
2016
LDSS-7004 - Log of Medication Administration
English
Child Care: Exempt Providers
Forms
2004
LDSS-7005 - Medication Error Report Form
English
Child Care: Exempt Providers
Forms
2004
LDSS-7005-S - Formulario de Informe de Error de Medicacion
English
Child Care: L/R Providers
Forms
2004
OCFS-6010 - Non-Medication Consent Form (Child Day Care Programs)
English
Child Care: L/R Providers
Forms
2015
OCFS-6023 - Child Abuse and Maltreatment Safety Plan (DCC & SACC)
English
Child Care: L/R Providers
Forms
2015
OCFS-6013 - Transportation Consent Form
English
Child Care: L/R Providers
Forms
2015
OCFS-6020-S - Plan de Transportación – Programas de Cuidado Diurno Infantil
Transportation Plan – Child Day Care Programs
Spanish
Child Care: L/R Providers
Forms
2015
OCFS-6020 - Transportation Plan - Child Day Care Programs
English
Child Care: L/R Providers
Forms
2015
OCFS-6016-S - Información del Voluntario
Volunteer Information
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-6017-S - Declaración de Condena Criminal del Voluntario
Volunteer Criminal Conviction Statement
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-LDSS-4433-S - Declaración Médica de un Niño(a) en Cuidado Infantil
Child in Care Medical Statement
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-6013S - Formulario de Consentimiento de Transportación
Transportation Consent Form
Spanish
Child Care: L/R Providers
Forms
2015
OCFS-6014 - Report of Water Supply Testing
English
Child Care: L/R Providers
Forms
2014
OCFS-6003 - References-Child Day Care Programs
English
Child Care: L/R Providers
Forms
2019
OCFS-6006 - Notification of a Firearm, Shotgun, Rifle or Ammunition on the Premises of Child Day Care Home Family and Group Family Day Care
English
Child Care: L/R Providers
Forms
2014
LDSS-7004-S - Registro de Administración de Medicamentos
Log of Medication Administration
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-6010-S - Formulario de Consentimiento para Administrar Productos que No Son Medicamentos
Non-Medication Consent Form
Spanish
Child Care: L/R Providers
Forms
2015
OCFS-4659-S - Exención de Presentar una Tarjeta de Huellas Dactilares Duplicada
Waiver for Submission of a Duplicate Fingerprint Card
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-6006-S - Notificación de un Arma de Fuego, Escopeta, Rifle o Munición en el Establecimiento de Cuidado Diurno Infantil
Notification of a Firearm, Shotgun, Rifle or Ammunition on the Premises of the Child Day Care Home
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-4659 - Waiver for Submission of a Duplicate Fingerprint Card (WORD)
English
Child Care: L/R Providers
Forms
2014
OCFS-6009S - Registro de Visitantes
Visitor Log
Spanish
Child Care: L/R Providers
Forms
2014
LDSS-7003 - Verbal Medication Consent Form and Log of Administration
English
Child Care: L/R Providers
Forms
2014
LDSS-7004 - Log of Medication Administration
English
Child Care: L/R Providers
Forms
2014
LDSS-7005 - Medication Error Report Form
English
Child Care: L/R Providers
Forms
2014
OCFS-6009 - Visitor Log
English
Child Care: L/R Providers
Forms
2014
OCFS-4436 - Incident Report for Child Day Care
English
Child Care: L/R Providers
Forms
2014
OCFS-6008 - Caregiver, Employee, Volunteer Attendance
English
Child Care: L/R Providers
Forms
2014
OCFS-6003-S - Referencias-Programas de Cuidado Diurno Infantil
References-Child Day Care Programs
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-6005-S - Declaración de Condena Penal-Programas de Cuidado Diurno Infantil
Criminal Conviction Statement-Child Day Care Programs
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-6022 - Request for Staff Exclusion List Check
English
Child Care: All Providers
Forms
2019
LDSS-4783-KO - 아동 보호 수당에 요구되는 가족 부담액의 연체
Delinquent Family Share for Child Care Benefits
(Sample Only)
Korean
Child Care: LDSS
Forms
2015
OCFS-6024 - Plan for Continuity of Care
English
Child Care: L/R Providers
Forms
2015
OCFS-4436-S - Informe de un Incidente de Cuidado Diurno Infantil
Incident Report for Child Day Care
Spanish
Child Care: L/R Providers
Forms
2014
LDSS-4783-IT - OMESSO VERSAMENTO DELLA QUOTA FAMIGLIA PER SUSSIDI PER I MINORI
Delinquent Family Share for Child Care Benefits
(Sample Only)
Italian
Child Care: LDSS
Forms
2015
OCFS-4773-HC - DELÈ POU REKONFIMASYON KALIFIKASYON POU GADRI
Child Care Eligibility Redetermination Coming Due (Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2018
OCFS-4773-TC - 托兒資格重新判定即將到期
Child Care Eligibility Redetermination Coming Due (Sample Only)
Chinese, traditional
Child Care: LDSS
Forms
2018
OCFS-4773-IT - PROSSIMA SCADENZA DELLA RIDETERMINAZIONE DELL’IDONEITÀ AGLI ASSEGNI FAMILIARI
Child Care Eligibility Redetermination Coming Due (Sample Only)
Italian
Child Care: LDSS
Forms
2018
OCFS-4773-RU - БЛИЗИТСЯ ПЕРЕСМОТР ПРАВА НА ПОСОБИЕ ПО УХОДУ ЗА РЕБЕНКОМ
Child Care Eligibility Redetermination Coming Due (Sample Only)
Russian
Child Care: LDSS
Forms
2018
OCFS-4773-KO - 보육비 지원 수혜 자격 재결정 만기 통지서
Child Care Eligibility Redetermination Coming Due (Sample Only)
Korean
Child Care: LDSS
Forms
2018
OCFS-4890 - Report of Death of Child in Child Care (WORD)
English
Child Care: L/R Providers
Forms
2008
OCFS-4926 - Fuel Burning System Inspection (WORD)
English
Child Care: L/R Providers
Forms
2010
OCFS-4932 - Family and Group Family Day Care Provider Request to Remove Street Address and Map from the Office of Children and Family Services Website (WORD)
English
Child Care: L/R Providers
Forms
2016
OCFS-4932-S - Solicitud para Retirar del Portal de la Agencia la Dirección y el Mapa Asociado con la Dirección de un Hogar de Cuidado Diurno en Familia o de un Grupo en Familia
Family and Group Family Day Care Provider Request to Remove Street Address and Map from the Office of Children and Family Services Website
Spanish
Child Care: L/R Providers
Forms
2016
OCFS-4939 - Provider Notification of Licensing or Registration to Fire and Police or Sheriff Departments (WORD)
English
Child Care: L/R Providers
Forms
2010
OCFS-4939-S - Notificacion del Proveedor(a) de Cuidado Infantil a los Departamentos de Bomberos y de la Policia sobre su Licencia o Registro
Spanish
Child Care: L/R Providers
Forms
2010
LDSS-0792 - Day Care Registration
English
Child Care: L/R Providers
Forms
2019
LDSS-7019 - Illness Injury and Indicators of Abuse Log (WORD)
English
Child Care: L/R Providers
Forms
2010
LDSS-7019-S - Registro de Enfermedades, Lesiones e Indicadores de Abuso
Illness, Injury and Indicators of Abuse Log
Spanish
Child Care: L/R Providers
Forms
2010
LDSS-7041 - Directions for Completing the Environmental Hazards Statement (WORD)
English
Child Care: L/R Providers
Forms
2006
LDSS-7042 - Environmental Hazard Information Form Parts I and II (WORD)
English
Child Care: L/R Providers
Forms
2006
LDSS-4783 - Delinquent Family Share for Child Care Benefits
(Sample Only)
English
Child Care: LDSS
Forms
2015
LDSS-4783-S - Porción de Pago Familiar en Delincuencia para Cubrir Beneficios de Cuidado de Niños
Delinquent Family Share for Child Care Benefits
(Sample Only)
Spanish
Child Care: LDSS
Forms
2015
OCFS-DCC-4838 - Monthly Fire and Safety Inspections For Day Care Center (DCC) Programs
English
Child Care: L/R Providers
Forms
2017
LDSS-0792-S - Registro de Cuidado Diurno
Day Care Registration
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-4773 - Child Care Eligibility Re-determination Coming Due (Sample Only)
English
Child Care: LDSS
Forms
2023
OCFS-4773-S - Se Acerca la Redeterminación de Su Elegibilidad para Recibir Asistencia de Cuidado Infantil (Ejemplo Solamente)
Child Care Eligibility Redetermination Coming Due (Sample Only)
Spanish
Child Care: LDSS
Forms
2018
LDSS-7003 - Verbal Medication Consent Form and Log of Administration(WORD)
English
Child Care: Exempt Providers
Forms
2004
LDSS-7003-S - Formulario de Consentimiento Verbal y Administración del Registro
Verbal Medication Consent Form and Log of Administration
Spanish
Child Care: L/R Providers
Forms
2014
OCFS-2114 - District Notification to Legally -Exempt Caregiver Enrollment Agency
English
Child Care: Exempt Providers
Forms
2013
LDSS-4783-HC - KONTRIBISYON PEMAN FANMI KI ANRETA POU BENEFIS GADRI
Delinquent Family Share for Child Care Benefits
(Sample Only)
Haitian Creole
Child Care: LDSS
Forms
2015
LDSS-4783-RU - НЕУПЛАЧЕННАЯ СУММА СЕМЕЙНОГО ВЗНОСА ДЛЯ ПОЛУЧЕНИЯ ПОСОБИЯ ПО УХОДУ ЗА РЕБЕНКОМ
Delinquent Family Share for Child Care Benefits
(Sample Only)
Russian
Child Care: LDSS
Forms
2015
LDSS-0792 - Day Care Registration
English
Child Care: L/R Providers
Forms
2019
LDSS-0792-S - Registro de Cuidado Diurno
Day Care Registration
Spanish
Child Care: L/R Providers
Forms
2019
OCFS-4773-BN - শিশু পরিচর্যা যোগ্যতা পুনর্নিধারণের তারিখ আসছে
Child Care Eligibility Redetermination Coming Due (Sample Only)
Bengali
Child Care: LDSS
Forms
2018
OCFS-4773 - Child Care Eligibility Re-determination Coming Due (Sample Only)
English
Child Care: LDSS
Forms
2023
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