Maryland Childcare Required Forms & Documents (2026)

Maryland childcare centers are required to collect and maintain a completed OCC 1214 — Emergency Form (child emergency/medical information; updated at least annually) for every enrolled child (per Maryland State Department of Education (MSDE), Division of Early Childhood, Office of Child Care (OCC), Licensing Branch).

Maryland childcare centers are required to collect and maintain a completed OCC 1215 — Health Inventory (child health assessment; Box A by parent, Box C by health care provider) for every enrolled child (per Maryland State Department of Education (MSDE), Division of Early Childhood, Office of Child Care (OCC), Licensing Branch).

Maryland childcare centers are required to collect and maintain a completed OCC 1216 — Medication Administration Authorization Form for every enrolled child (per Maryland State Department of Education (MSDE), Division of Early Childhood, Office of Child Care (OCC), Licensing Branch).

Maryland childcare centers are required to collect and maintain a completed OCC 1216a — Asthma Action Plan and Medication Administration Authorization Form (supplemental medication form; related variants OCC 1216b allergy/anaphylaxis, OCC 1216c seizure, OCC 1216d special health condition individualized care plan) for every enrolled child (per Maryland State Department of Education (MSDE), Division of Early Childhood, Office of Child Care (OCC), Licensing Branch).

Maryland childcare centers are required to collect and maintain a completed MDH Form 896 — Maryland Department of Health Immunization Certificate for every enrolled child (per Maryland State Department of Education (MSDE), Division of Early Childhood, Office of Child Care (OCC), Licensing Branch).

Maryland childcare centers are required to collect and maintain a completed Child Care Center / Letter of Compliance License Application (submitted via Maryland OneStop, onestop.md.gov) for every enrolled child (per Maryland State Department of Education (MSDE), Division of Early Childhood, Office of Child Care (OCC), Licensing Branch).

Maryland childcare centers are required to collect and maintain a completed CPS Background Clearance / Adam Walsh Background Clearance Form (Maryland Dept. of Human Services, Child Protective Services) for every enrolled child (per Maryland State Department of Education (MSDE), Division of Early Childhood, Office of Child Care (OCC), Licensing Branch).

Maryland childcare centers are required to collect and maintain a completed Criminal History Records Check / fingerprint application via CJIS (Maryland Dept. of Public Safety & Correctional Services) for every enrolled child (per Maryland State Department of Education (MSDE), Division of Early Childhood, Office of Child Care (OCC), Licensing Branch).

What forms are required for childcare enrollment in Maryland?

Maryland requires the following forms for each enrolled child: OCC 1214 — Emergency Form (child emergency/medical information; updated at least annually); OCC 1215 — Health Inventory (child health assessment; Box A by parent, Box C by health care provider); OCC 1216 — Medication Administration Authorization Form; OCC 1216a — Asthma Action Plan and Medication Administration Authorization Form (supplemental medication form; related variants OCC 1216b allergy/anaphylaxis, OCC 1216c seizure, OCC 1216d special health condition individualized care plan); MDH Form 896 — Maryland Department of Health Immunization Certificate; Child Care Center / Letter of Compliance License Application (submitted via Maryland OneStop, onestop.md.gov); CPS Background Clearance / Adam Walsh Background Clearance Form (Maryland Dept. of Human Services, Child Protective Services); Criminal History Records Check / fingerprint application via CJIS (Maryland Dept. of Public Safety & Correctional Services).

How long must Maryland childcare centers keep enrollment forms on file?

Maryland childcare licensing rules require that child records, including all required enrollment forms, be kept on file for the duration of enrollment and for a retention period after the child leaves. Contact the Maryland State Department of Education (MSDE), Division of Early Childhood, Office of Child Care (OCC), Licensing Branch to confirm the exact retention schedule.

What happens if a Maryland center is missing required child forms during an inspection?

Missing or incomplete required forms are a citable deficiency in a Maryland childcare licensing inspection. Civil penalty of not more than $1,000 for each violation; each day a violation occurs or the center operates illegally is a separate violation; the total amount of civil penalties imposed in a civil action may not exceed $5,000 (COMAR 13A.16.17.08). Criminal penalties for operating without a license (misdemeanor): up to $1,500 for a first violation and up to $2,500 for a second or subsequent violation. Additional enforcement under COMAR 13A.16.17: warnings (.03), intermediate sanctions (.04), suspension (.05), emergency suspension (.06), and license revocation (.07).

Does TotReady provide templates for Maryland required forms?

TotReady's enrollment form tool and incident report tool generate Maryland-ready documents pre-filled with the required fields. Visit /tools/enrollment-form and /tools/incident-report to get started.