201 1st Street NE, Suite 18
Austin, MN 55912
Forms for Providers
Admissions & Arrangements Form
Age Group Definitions/Child Care Ratios
Alcohol & Drug Use Policy Sample
Background Study Worksheet/Guidance
Electronic Licensing Inspection Checklist Info (ELICI) tool
Family Child Care Monitoring Questionnaire
Legal Nonlicensed Provider Training Documentation Form
Month Crib Safety Inspection Form
Optional Form for Parent Statement (Infant <6 months of age regularly rolling over)
Owner's Permission for Fire Marshall Inspection
Physician Directive for Alternative Sleep Position
Poisonous Plants Family Child Care
Request for Expedited Correction Order Reconsideration
Request for Variance
Form DHS-7297
Safe Sleep Standards & Training Requirements
United States Consumer Product Safety Commission Website
Additional forms for Providers who receive payments from the Child Care Assistance Program
Mower County Licensed Child Care Association (MCLCCA)
JoAnn Rollie, President
(507) 433-3764