Alaska Department of Health and Social Services Forms

This form is used for creating a plan of care for a child with special needs in Alaska.

This document is for approved relative providers and in-home caregivers in Alaska to ensure they meet health and safety training requirements.

This form is used for reporting new hires in the state of Alaska. It is mandatory for employers to submit this form to the Alaska Department of Labor and Workforce Development within 20 days of hire.

This form is used for conducting a health and safety inspection in Alaska. It helps in ensuring that proper safety measures are in place and being followed by relatives of a person.

This form is used for applying to the Child Care Grant Program in Alaska. It is a grant program that provides financial assistance for child care expenses.

This form is used for requesting reimbursement for staff salaries and benefits or substitute care in the Child Care Grant program in Alaska.

This form is used for residents of Alaska to request saving funds for a future purchase.

This Form is used for parents in Alaska to sign a Parent Responsibility Agreement for Pass I.

This Form is used for requesting a waiver of good cause in Alaska.

This form is used to request the application of funds to a past purchase in the state of Alaska.

This form is used for requesting reimbursement for the Child Care Grant (CCG) in Alaska.

This document is used for the Child Care Grant Financial Repayment Agreement in Alaska.

This form is used for submitting special needs documentation in the state of Alaska. It is required to provide necessary information for individuals with special needs in order to access appropriate services and accommodations.

This form is used for requesting manual authorization for Pass I in Alaska.

This form is used for obtaining a reference for an administrator of a child care facility in Alaska.

This form is used for obtaining a reference for a child care associate applying to work in a child care center in Alaska.

This form is used for applying for the Child Care Associate designation and qualification in Alaska. It helps individuals who wish to work in the field of child care to meet the necessary requirements and gain the appropriate recognition.

This type of document is used for a First Aid and Disaster Kit Checklist specific to Alaska. It helps individuals to ensure they have the necessary supplies and items in case of emergencies or disasters in Alaska.

This form is used for child care providers in Alaska to create an inclusion plan.

This form is used for ensuring that child care facilities in Alaska have the necessary personnel policies in place. It serves as a checklist to ensure the facility meets the required standards for staff management and provides a safe and nurturing environment for children.

This Form is used for requesting specialization in nighttime care in Alaska.

This form is used for creating a plan for the shared use of a child care facility in Alaska.

This form is used for creating a plan to designate alternate outdoor recreation space in Alaska. It helps in ensuring the availability of recreational areas for outdoor activities.

This form is used for requesting participation in a specialized program activity in Alaska.

This form is used for requesting an exemption from child care licensure in Alaska. If you meet certain criteria, you may be eligible for this exemption.

This form is used for reporting and documenting any child injury, illness, or incidents that occur in Alaska. It is designed to ensure proper documentation and follow-up on such events for the safety and well-being of children.

This form is used for applying for a biennial child care license in Alaska.

This form is used for reporting the schedule of facilities in Alaska.

This form is used for creating a plant safety plan in the state of Alaska. It helps ensure the safety of workers and compliance with safety regulations.

This Form is used for the designation and qualification of administrators in Alaska.

This form is used for notifying authorities about a facility emergency in Alaska. It provides important information about the incident and helps ensure appropriate response and assistance.

This form is used for reporting any changes in the information of an individual or business entity in the state of Alaska.

This document is a checklist for parents to review and understand the policies of a child care facility in Alaska. It helps parents ensure that the facility meets their expectations and provides a safe environment for their child.

This form is used for creating a disaster preparedness and emergency evacuation plan specific to Alaska. It includes guidelines and information to help residents stay safe and get out alive during an emergency or natural disaster.

This document is a parent list form for Alaska. Use it to create a comprehensive list of parents in Alaska.

This Form is used for creating a staffing plan for child care facilities in Alaska.

This document is for designating a proxy representative in the state of Alaska. It allows an individual to appoint someone else to act on their behalf for certain legal or financial matters.