Childcare Updates Form

Use this form to submit a Provider Update, register a new child, or to update your Provider's payment information or method. If you are applying to the program for the first time, please use the online New Participant Application linked to at
Please follow the instructions below for the type of update you need to make and attach all required documents before clicking "submit". Failure to submit all required documents may result in a delay in processing your request.
By checking the box below, I certify that I understand it is a crime to make a false statement on this form. If I make a false statement, I may be subject to criminal prosecution and punishment including a fine, imprisonment, or both. Federal employees may also be subject to administrative punishment, including termination of federal employment. I also certify I am still employed at the federal agency selected below. *
What type of update do you need to make? *
For a Provider Change, please complete and attach the following:

To update your Provider's payment method or information, please complete and attach the following:

To add a new child, please complete and attach the following: