Forms

DHS Help for Providers

This page focuses on the state's role in monitoring and enforcement of family child care. It also has information family child care providers need to obtain and maintain their licenses. 

Provider Forms

Download any of the following Child Care forms to use with your program.

  1. Admission and Arrangement Form 9-2019 (PDF)
  2. Alcohol Drug Use Policy fillable form (PDF)
  3. Allergy Information Form 7-2017 (PDF)
  4. Checklist for Children's Records (PDF)
  5. Crib Safety Inspection form 06 2014 (PDF)
  6. Daily Attendance Record 8 2015 (PDF)
  7. Data Privacy-Tennessen Notice PDF
  8. Directive for Alternative Infant Sleep Position 1-24 (PDF)
  9. Emergency Preparedness Plan
  10. Enrollment Form (PDF)
  11. Enrollment Form Interactive Version 2014 (PDF)
  12. Fire & Storm Drill Log and Floor Plan with Sample (PDF)
  13. Freedom to Breathe Sample 6 17 2014 (PDF)
  14. Helmet Approval for Sleeping Infants 1-24 (PDF)
  15. Immunization Record MDH 2019 (PDF)
  16. Liability Insurance Notice to Parents Guardians 8 2018 (PDF)
  17. License Capacity Breakdown (PDF)
  18. Maltreatment of Minors Mandated Reporting PDF
  19. Optional Form for Parent Statement: Infant Less Than Six Months of Age Regularly Rolling Over (PDF)
  20. Permission to Administer Non-Prescription and Prescription Meds (PDF)
  21. Permission to Take Child on Field Trips (PDF)
  22. Photo Release (PDF)
  23. Rule Summary for Parents DHS-7747-ENG 9-25 (PDF)
  24. Rules Statutes February 2026
  25. Sample Policy (PDF)
  26. Substitute Log Sample (PDF)
  27. Swaddling Consent for an Infant 2-24 (PDF)
  28. Swimming Pool Permission (PDF)
  29. Training Record 2025 Licenseholder Co-Applicant 2nd Adult PDF
  30. Trampoline Permission (PDF)
  31. Variance Forms Combined DHS-7297 (PDF)
  32. Wading Pool Permission (PDF)