Provider Services /

Provider Forms

APP - Center Enrollment Packet:

APP - Provider Agency Agreement:

APP - License Provider Enrollment Packet:

Covid-19 Forms

MB 20-06 COVID-19 Guidance regarding Emergency Childcare Services for Essential Workers and At-Risk Populations. Learn More

Self-Certification Form

Confidential Application for Emergency Childcare Services

Temporary Waiver Request

Licensed Provider Spec Sheet

APP Program Flyer

Infant Food Decline Form

Direct Deposit Authorization

DCH-17 Welcome letter for new DCH providers

Medical Statement to request special meals

Health & Safety Scholarship Request Form

2020 Holiday Calendar

Building the Future

APP Program Flyer

APP Program Flyer

Covid-19 Forms

MB 20-06 COVID-19 Guidance regarding Emergency Childcare Services for Essential Workers and At-Risk Populations. Learn More

Self-Certification Form

Confidential Application for Emergency Childcare Services

Temporary Waiver Request

Licensed Provider Spec Sheet

APP Program Flyer

Infant Food Decline Form

Direct Deposit Authorization

DCH-17 Welcome letter for new DCH providers

Medical Statement to request special meals

Health & Safety Scholarship Request Form

2020 Holiday Calendar

Building the Future

Funded by the California Department of Social Services Child Care and Development Division and through local grants.