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Sample forms are for your convenience. You can save them and modify for your own business, or use as is. Charts and other information are gathered from various sources.

IF you do not see a form on this list that you would like added, please EMAIL your request about what you would like to see.

• Accident report form 1 per page (.doc)

• Accident report form 2 per page (.doc)

• AFFORDABLE ADVERTISING (.doc)

• Attendance Record (.doc)

• Attendance Record sample 2 (.doc)

• Beginning Business Basics (.doc)

• Considerations When Evaluating Staff Members (.doc)

• Contract (.doc)

• Daily Schedule Sample (.doc)

• Daily Schedule Sample 2 (.doc)

• Daily Schedule Sample 3 (.doc)

• DHS Programs (.doc)

• Diaper Change Tracking Form (.doc)

• Discipline, Setting Guidelines (.doc)

• Discipline, Sample Policy (.doc)

• EMERGENCY MEDICAL TREATMENT AUTHORIZATION (.doc)

• Enrollment and Authorization Form (.doc)

• Enrollment Schedule Planner Sample 1 (.doc)

• Enrollment Schedule Planner Sample 2 (.doc)

• Enrollment Schedule Planner Sample 3.doc (.doc)

• ERDC becoming Listed (.doc)

• ERDC other ICCP programs (.doc)

• Evaluating Staff (.doc)

• Exposure to ILLNESS Notice (.doc)

• Field Trip Permission form (.doc)

• Field Trip Notice to Parents (.doc)

• Fire Drill Record (.doc)

• Flier Sample 1 (.doc)

• Flier Sample 2 (.doc)

• Flier Samle 3 (.doc)

• Immunizations Quick Reference Guide
  For more information and forms, visit the Department of Human Services immunization Programs for Oregon Immunization guidleines.

• Incident Report form (.doc)

• Insurance (.doc)

• Insurance: What you should know (.doc)

• Law center contract (.doc)

• Medication Permission (.doc)

• Payment Tracking And Year End Statement for Parents (.doc)

• Parental Notification Form About The Role of Mandatory Reporters (doc.)

• Rules for Excluding Sick Children (.doc)

• Poison Control

• Resources for Provider (.doc)

• Setting Guidelines for Discipline 05 (.doc)

• Suggestions For Telephone Interviews (.doc)

• Things to include in your Contract and Policy (.doc)

• Toxic Plant List (word doc) or (PDF file)

• Training sources (.doc)

• 4 week USDA sample menus (.pdf)*

• USDA weekly menu plan (.doc)

• USDA infant food guide (.pdf)*

• USDA Toddler food guide (.pdf)*

• USDA 2-12 years food guide (.pdf)*

• Other 4 week menu plans (.doc)

If you wish to have any of these forms as a PDF file or a hard copy sent to you, please email me your request at barragerl@lanecc.edu

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