When turning in the application please provide a DHS state physical forms from the pediatrician that was done in the last 6 months along with a certified copy of the child's birth certificate.
To get started, please fill out our Child Care Application.
If you qualify for subsidized card, please fill out our Child Care Assistance Application.
Option 1: Fill out Online and Print (Requires Adobe Acrobat Reader):
(Fill Out Online and Print).
Option 2: Download Form Only:
(Download and Print)