Legally-Exempt/Informal Child Care Provider Enrollment

New York State regulations require all legally-exempt child care providers (also known as informal providers) who provide child care services for a child residing in New York City to be approved, enrolled, and monitored by the Women’s Housing and Economic Development Corporation (WHEDco), New York City’s Legally-Exempt Enrollment Agency.  In order to provide subsidized child care services through ACS, informal providers AND parents/guardians of children being cared for by an informal providers must both complete and sign the child care enrollment forms listed below (one set of forms for each family) and submit them by mail or in person to one of the WHEDCo sites listed below. 

Child Care Enrollment Forms for Legally-Exempt Child Care Providers:

Forms in English: (In Word Format)

• OCFS-LDSS-4699: Enrollment Form for Provider of Legally-Exempt Family Child Care and Legally-Exempt In-Home Child Care 
• OCFS-LDSS-4699-1: Employment of Minors Form 
• OCFS-LDSS-4699-1A: Employment of Minors Information 
• OCFS-LDSS-4699-2: Legally-Exempt In-Home Child Care Provider Agreement Form 
• OCFS-LDSS-4699-2A: Parental Responsibilities When Employing a Legally-Exempt In-Home Child Care Provider 
• OCFS-LDSS-4699-3: Legally-Exempt Provider Training Record Form 
• OCFS-LDSS-4699-4: Parental Acknowledgement of Criminal History of the Child Care Provider Employee or Volunteer Form
• OCFS-LDSS-4700: Enrollment Form For Provider of Legally Exempt Group Child Care
• OCFS-4915 (7/2010): History of Criminal Convictions and Parental Acknowledgment 18 NYCRR, 415.4(F)(7)(i)
• OCFS-4916: History of Day Care Enforcement and Parental Acknowledgment 18 NYCRR, 415(F)(8)(III)(A)
• OCFS-4917: History of Termination of Parental Rights and/or Court Ordered Article 10 Removal of a Child and Parental Acknolwedgment 18 NYCRR 415.4(F)(8)(II)(A)(2)

Forms in Spanish: (In Word Format)

• OCFS-LDSS-4699 – S: Formulario de Inscripcion para Proveedor(a) de Servicios de Cuidado Infantil en Familia Legalmente Exento y de Cuidado Infantil a Comicillo
• OCFS-LDSS-4699-1-S: Formulario de Empleo para Menores de Edad 
• OCFS-LDSS-4699-2-S: Acuerdo del Proveedor(a) de Cuidado Infantil en Familia Legalmente Exento
• OCFS-LDSS-4699-3-S: Registro de Entrenamiento para Proveedores de Cuidado Infantil Legalmente Exento 
• OCFS-LDSS-4699-4-S: Reconocimiento Del Padre-Madre