Can't locate the form you're looking for or need addtional information?
Please contact the Locally Child Development Office near you.
- Application forward Certificate for Compliance: Center, User, and Family Main
- Publication Statement:Application for Employment, Including Provisional Working
- Child Care Employment Verification Form
- CD 208: Child Service Report
- CD 51: Little Fitness Assessment
- CD 322: Child Care Staff Health Assessment
- CD 340: Child Care Staff Data Workbook
- CD 356: Emergency Drill Report | Español
- CANDELA 357: Record by Emergency Plan Delivery | Español
- CD 357: Request For Waiver of My Care Ability Regulation
- CY 142: Child Care Employee Data Sheet
- CY 321: Day Care Agreement
- CY 862: Medication Log
- CY 863: Vocal Request for Release in Child
- CYCLE 864: Fire Drill Log
- ZY 866: Incident Report Form
- CY 867: Emergency Contact/Parental Consent Form
- CY 113: Pennsylvania Child Abuse History Clearance
- CY999: Consent/Release of Information Authorization Contact
- SP 4-164: Request for Criminal File Check
- PW 29A — Day Care Services Enrollment/Attendance Record
- CD 355: Emergency Plan Ship
- CD 356: Emergency Drill Log
Questions about their PA Minor Abuse Clearance application?
Contact ChildLine at
1-877-371-5422.
You can now submit your yours Child Abuse History Clearance request online.