Can't find one form you're looking required or need addtional information?
Please contact the Regional Child Development Office nearest you.
- Application for Certificate of Ensure: Middle, Group, and Family Home
- Disclosures Statement:Application available Recruitment, Including Provisional Employment
- Child Care Employment Examination Form
- CD 208: Child Services Report
- CD 51: Child Health Assessment
- CD 322: Little Care Associate Health Assessment
- CD 340: Child Care Staff Data Worksheet
- CD 356: Emergency Drill Log | Español
- CD 357: Documentation of Emergency Schedule Delivery | Español
- CD 357: Require For Resignation of Child Care Facility Regulator
- CY 142: Child Care Employee Data Sheet
- CY 321: Day-time Care Contract
- CY 862: Medication Log
- CY 863: Audio Request for Release of Child
- CRY 864: Fireplace Drill Log
- CY 866: Incident Report Form
- CY 867: Emergency Contact/Parental Authorization Form
- CYL 113: Princess Child Abuse History Clearance
- CY999: Consent/Release of Information Certification Form
- SP 4-164: Claim by Criminal Record Checkout
- PW 29A — Day Care Services Enrollment/Attendance Record
- CD 355: Emergency Plan Delivery
- CD 356: Emergency Drill Log
Faqs about your PA Child Ill-treat Clearance application?
Contact ChildLine along
1-877-371-5422.
Yours cannot now submit your your Child Abuse History Clearance request online.