Family child care licensing packet

For your convenience, we've gathered together critical documents and forms that must be reviewed and completed to renew your license as a family child care provider.

Applications and forms:

• Family Child Care - Family Systems Family Child Care Application (PDF)
• Complete ONLY if you are operating your program outside of your residence: Program Plan for Special Applications (PDF)
• Enrollment Form (PDF)
• Licensed Space Form (PDF)
• Required Reporting Procedures and Household Roster (PDF)
• Certificate of Compliance Minnesota Workers' Compensation Law (PDF)
• A list of days you are closed in the two months prior to your license expiration

Completed forms must be mailed to:
Sourcewell - Child Care Licensing
P.O. Box 219
Staples, MN 56479

Per the Federal Regulation Child Care & Development Block Grant, licensors conduct annual visits to the child care home. In compliance with federal regulations, this unannounced visit ensures minimum standards are maintained.

• Required Reporting Procedures and Household Roster (PDF)

• Enrollment Form (PDF)

Completed forms must be provided to Regional Licensing Specialist at your Off-Year Inspection Visit.
Please do not mail anything back.

Background studies
In light of changes to state and federal laws, the Minnesota Department of Human Services has finalized guidance for family child care providers regarding who needs a background study. You may access a Background Study Worksheet (PDF) and find additional information on the DHS website.

If you need to complete a background study, please contact your county's Regional Licensing Specialist.

Fingerprinting
Information on available fingerprint locations may be found at identogo.com/locations/minnesota.

Looking for child-specific forms, pool documentation, or other forms?

Commonly requested documents can be found on the Forms & Documentation page.