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
- Direct Deposit Authorization Form
- Overview of Overpayment and Fraud
- Provider Rate Change Request Form
- CCDF Child Care Participant Agreement Training and Exam
- Child Care Assistance Application
- Child Care Assistance Change Form | DCC-553
- Child Care Rate Caps by County
- Family Support Unit Overview
- Family Support Unit Procedure Manual
- Verification of Earnings for New Employment
- DCC-575 Self Employment Form
Arkansas CCDF State Plan
The 2022-2024 Arkansas CCDF State Plan Draft is available for review. Contact Ivory.Daniels@dhs.arkansas.gov if you have any questions.
- 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
DCCECE will pay a one-time reimbursement to child care providers for the $150 INA subscription cost. If you would like to be reimbursed for this cost, please email a copy of your INA invoice to INAReceipts@dhs.arkansas.gov showing your payment of $150. Please allow 4 weeks to process your reimbursement request.
Health and Safety Resources and Forms
Several resources are available to help you keep the children you care for and your staff safe.
