Forms & Publications
Licensed Child Care Program Record Check Form
Licensed Child Care Program Record Check Form - Multi-site Programs
Registered Child Care Program Record Check Form
Registered Child Care Home Self-Assessment Form
Child Enrollment Form [sample]
Child Care Sign In and Out Sheet [sample]
This is a sample form programs may use to record when children come in or leave their program on a daily basis.
Immunization Checklist [Link to Vermont Department of Health]
Immunization Exemption and Parent Education Forms
Medication Permission Form [sample]
Prior to applying any topical lotion or topical medication to children, providers need to have permission from the parent. Please refer to the child care regulations for specific requirements for administering medication.
In 1996, the Vermont Legislature passed Act 165, Vermont’s lead law, an act to prevent childhood lead poisoning in older rental housing and child care facilities (built anytime before 1979). The law requires that landlords of older buildings and child care facility operators take steps to help prevent children from being exposed to lead. Learn more about lead poisoning and requirements for child care programs. The Department of Health has a specific form that child care facilities must complete if they are located in a building that was built prior to 1978.