Report Changes to Child Care

Please provide as much information as possible so we may process your reported change quickly & accurately:

Name:

Email:

Date of Birth:

Case Number:

Please provide detailed explanation of change:

Please provide us with your telephone number so we may contact you for further information:

In addition to my Child Care Worker, please forward this information to my: Select if applicable Cash/Food/Medical Caseworker JOBS/ESC Worker

Child Care

• Forms - Clients
• Forms - Providers
• How to Apply
• Frequently Asked Questions
• Locate a Provider
• Other Informational Sites
• Policies and Regulations
• Provider Types and Qualifications
• Report Changes to Child Care
• Child Care Home

• Forms - Clients
• Forms - Providers
• How to Apply
• Frequently Asked Questions
• Locate a Provider
• Other Informational Sites
• Policies and Regulations
• Provider Types and Qualifications
• Report Changes to Child Care
• Child Care Home