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Applications and Forms

Applications for licenses and certification (click on links below):

 

APPLICATION FOR A LICENSE TO OPERATE A DAY CARE CENTER                      $50.00 Application Fee

 

APPLICATION FOR RENEWAL OF A LICENSE TO OPERATE A DAY CARE CENTER      $25.00 Renewal Application Fee

 

APPLICATION FOR LICENSURE TO OPERATE A CHILD CARING FACILITY AND/OR A CHILD PLACING AGENCY $100.00 Initial Application Fee and $50.00 Renewal Fee

 

CERTIFIED FAMILY CHILD CARE HOME APPLICATION  $10.00 Application Fee

 

Other Forms (click on links below):

 

REQUEST FOR CONVICTION RECORD-KY STATE POLICE

 

CENTRAL REGISTRY CHECK FORM-LICENSED FACILITIES/AGENCIES

 

CENTRAL REGISTRY CHECK FORM-CERTIFIED FAMILY CHILD CARE HOMES

 

CERTIFIED HOME SELF CHECKLIST

 

 

Last Updated 8/26/2016