Get Wi Dcf-f-cfs0055-e 2008-2025

Filling out the WI DCF-F-CFS0055-E form online can streamline your reporting process. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the form online.

1. Click ‘Get Form’ button to access the form and open it for completion.
2. Fill in the child care center information, including the name of the center, facility number, telephone number, and address, which should include street, city, state, and zip code.
3. Provide child and parent information. Enter the child's name and birthdate, as well as the names of the parent(s) or guardian(s) and their corresponding telephone numbers.
4. Detail the incident information. Include the location of the incident, incident date, and incident time. List the names of any adult witnesses and describe the incident, including the nature and extent of the injury.
5. If a toy was involved in the incident, provide the name and type of the toy. Describe the activity in which the child was engaged when the incident occurred and how the parent was notified.
6. Enter medical information, including the name and address of the hospital or clinic, and the physician’s name. Describe any medical treatment provided by a medical professional.
7. Sign the form as a child care center representative. Ensure all required fields are filled out correctly.
8. For department use only, indicate whether additional investigation is required and attach a written report if necessary. Include the date reviewed and the licensing specialist's signature.
9. Once you have completed all sections of the form, save your changes, then download, print, or share the document as needed.

Complete your forms online to ensure timely reporting.