Head Start / ECEAP forms and documents
Agreement form CCS 97-141
Application CCS 9847
Application information sheet
Authorization to disclose and receive information CCS 9713
Child care exceptional fees CCS 9611
Child protective services report CCS 97-104
Consent for screening, assessment and exchange of information CCS 97-150
Continuing enrollment agreement CCS 98-134
Dental examination record CCS 9821
DST family documentation CCS 98-132a
ECEAP forms and documents
Education completion dates summary CCS 9874
Enrollment eligibility priority checklist 2009-10 CCS 98-126
Family strengths and partnership agreement/goals worksheet CCS 98-129
Field trip permission (group) CCS 9860
Financial agreement CCS 9610
First-aid kit inventory checklist CCS 9887
Fluoride information handout
Flouride information handout (Spanish)
Food request CCS 97-121
Health, dental and diet history CCS 98-116
Health requirements reminder CCS 9888
Immunization notice (30-day) CCS 9854
Income statement CCS 9849
Initial child development plans (CIP)
I/T home-based CCS 98-144
I/T center-based CCS 98-145
PS CCS 98-146
Infant/toddler daily staffing plan I CCS 9864
Infant/toddler daily staffing plan II CCS 9865
In-kind records
Interagency meeting CCS 9840
Donation receipt CCS 9794
Community volunteer CCS 9795
Parent volunteer hours CCS 9796
Lead exposure risk CCS 9897
Lead handout CCS 98-137
Medication administration authorization CCS 9896
Mental health consultant documentation CCS 98-124
Mental health consultant PIR log CCS 98-125
Minor incident/accident/illness report CCS 98-123
New employee orientation checklist CCS 98-136
Notice of privacy (English) CCS 98-121
Notice of privacy (Spanish) CCS 98-147
Practical dress guidelines for early childhood classroom and
work environments CCS 98-143
Pre-employment medical exam CCS 98-110
Pre-employment medical exam instructions CCS 98-118
Release and emergency treatment authorization CCS 9828
Request for volunteer vendor number CCS 98-142
Sensory/growth screening results CCS 9824
Special diet letter CCS 98-140
Special diet request CCS 98-141
Standards of conduct agreement CCS 9878
Table of contents: Child/family file (CENTER) CCS 98-139
Table of contents: Child/family file (HOME) CCS 98-138
Training/travel request-staff CCS 98-102
Transition plan checklist CCS 98-135
Well-child examination record CCS 9822