Director Forms

Monthly Calendar

Employee Data Sheet

Direct Deposit Form

Destiny Health Application

Destiny Health Status Change Form   

Poster -  Federal Minimum Wage (Ohio & IL)

Poster - Illinois Labor  

Poster - Ohio Labor (Minimum Wage)

Poster - Reemployment Rights Act (USERRA)

Poster - Family Medical Leave Act (Ohio & IL)  

Poster - Equal Employment Opportunity (Ohio & IL)                                    

Federal W-9 Form (Request for Tax Payer Identification Number)

Family Medical Leave Act (Certification of Heath Care Provider)

Family Medical Leave Act (Response from the Employer)

Illinois State Board of Education (Household Eligibility Booklet - July-07)

Illinois State Board of Education (Food Program Sheets)

Illinois State Board of Education (Meal Participation Record)

Ohio State Board of Education (Application)

INS  I-9 Form (Employment Eligibility Verification)

IL W-4 Form (Employee Withholding - Illinois)

Federal W-4 Form (Employee Withholding)

Federal W-5 Form (Earned Income Credit Advance Payment)

Employment Application

Employee Reference Form

Kid Care Form

Child Care Connection (CCC Application)

DCFS Form - Consent for Release of Information

DCFS Form - Mandated Reporter

DCFS Form - Report of Persons Employed In Child Care Facility

DCFS Form - Information on Person Employed in a Child Care Facility

DCFS Form - Authorization for Background Check (Employees)

DCFS Form - Authorization for Background Check (Director's Only)

DCFS Form - Certificate of Child Health Examination (Infants/Toddlers)

DCFS Form - Certificate of Child Health Examination (Two's and Older)

DCFS Form - Medical Report on an Adult

Work Comp First Report of Injury Form (Illinois)

Work Comp First Report of Injury Form (Ohio)

Driver Application Form (Kiesewetter Form)

DCFS Driver's Application Form (This may be used, just make copies)

DCFS Form - Transfer of Background