Health and Safety
Several resources are available to help you keep the children you care for and your staff safe.
Important Forms and Documents
- Child Care Arrangement Verification
- Child Care Attendance Record | Daily
- Child Care Attendance Record | Weekly
- Child Care Billing User Manual
- Child Care Assistance Sliding Fee Chart – effective 10/1/22
- Direct Deposit Authorization Form
- Overview of Overpayment and Fraud
- CCDF Child Care Participant Agreement Training and Exam
- Child Care Assistance Application
- Child Care Assistance Application – Spanish
- Child Care Assistance Change Form | DCC-553
- Family Support Unit Overview
- Family Support Unit Procedure Manual
- Verification of Earnings for New Employment
- DCC-575 Self Employment Form
- Suggested Salary Schedule
Arkansas CCDF State Plan
The 2022-2024 Arkansas CCDF State Plan Draft is available for review. All State Plan Comments must be submitted via email to CCDFStatePlanComments@dhs.arkansas.gov by June 7, 2021.
Arkansas CCDF State Plan Public Hearings
Arkansas CCDF State Plan Documents
- Arkansas CCDF State Plan for FY 2022-2024 (Draft)
- Arkansas CCDF State Plan for FY 2019-2021
- Arkansas CCDF State Plan for FY 2016-2018
- Arkansas CCDF State Plan for FY 2014-2015
Background Check Forms
New Online Background Check System
It is finally here! The new system for Background Checks is up and running. Providers can now sign up for their own portal access in the Information Network of Arkansas (INA) to complete their background checks. Provider use of this system will be mandatory starting October 1, 2020.
Using the New Online System (account needed)
- Information and links about the online system
- New Criminal Background Check Form
- Child Maltreatment Central Registry Check Form
Health and Safety Resources and Forms
Several resources are available to help you keep the children you care for and your staff safe.
