Get Mi Ccl-3900 2021-2025

The MI CCL-3900 form is essential for parents and guardians to provide necessary information regarding the care of their children in licensed childcare settings. This guide will assist you in completing the form accurately and efficiently online.

Follow the steps to fill out the MI CCL-3900 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the child's name(s) in the designated field, formatted as Last, First, Middle Initial.
3. Next, provide the licensee's name and number in their respective fields to ensure proper identification.
4. In Section 1, initial each statement confirming receipt of the licensing rules and policies, including the understanding of permissions required for medication, transportation, field trips, and swimming.
5. Proceed to Section 2 and initial the emergency treatment authorization. Indicate if you object to emergency medical treatment for your child due to religious grounds.
6. Complete the health status declarations regarding your child's health conditions and immunization status, providing additional information if necessary.
7. In Section 3, the licensee must complete checkboxes regarding immunization of minors in the home, presence of animals, firearms, and any lead hazards.
8. Section 4 requires initialing by both the parent/guardian and the licensee regarding food provision for the child(ren) in care.
9. Finally, review the form for accuracy, ensure all signatures and initials are in place, and then save your changes. You can now download, print, or share the completed form as needed.

Take action now by completing the MI CCL-3900 online for your child's care.