Missouri Childcare Licensing
Missouri Childcare Required Forms & Documents (2026)
Licensed childcare centers in Missouri must collect, complete, and retain specific forms for every enrolled child before care begins. The Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. requires 12 distinct forms or documents — from enrollment agreements to emergency contacts to immunization records — to remain on file and available for inspection at all times.
Last updated: April 2026
Researched by the TotReady Research TeamMissouri Required Forms & Documents: The Specifics
Missouri childcare centers are required to collect and maintain a completed MO 500-3293 — Application for License to Operate a Child Care Facility for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri childcare centers are required to collect and maintain a completed MO 500-3291 — Annual Declaration for Licensed Facility for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri childcare centers are required to collect and maintain a completed MO 500-3290 — Center Director / Group Child Care Home Provider Approval Request for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri childcare centers are required to collect and maintain a completed MO 500-3296 — Center Director / Group Child Care Home Provider Certification Request for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri childcare centers are required to collect and maintain a completed MO 500-3294 — Religious Organization Child Care Facility Notice of Parental Responsibility for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri childcare centers are required to collect and maintain a completed MO 500-3295 — Request for Revision for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri childcare centers are required to collect and maintain a completed MO 500-3307 — Child Care Facility Overlap Request for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri childcare centers are required to collect and maintain a completed MO 500-3303 — Child Medical Examination Report (Infant/Toddler/Pre-School) (kept on file) for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri childcare centers are required to collect and maintain a completed MO 500-3304 — Medical Examination Report for Caregivers and Staff (kept on file) for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri childcare centers are required to collect and maintain a completed MO 500-3317 — Child Care Enrollment Form (kept on file) for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri childcare centers are required to collect and maintain a completed MO 500-3299 — Comprehensive Background Check Notification form (submitted to OCBackgroundChecks@dese.mo.gov per RSMo 210.1080) for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri childcare centers are required to collect and maintain a completed Imm.P.14 — Missouri DHSS Immunizations In Progress form (per 19 CSR 20-28.040); related exemption forms are Imm.P.11 (Parent/Guardian exemption) and Imm.P.12 (Medical exemption) for every enrolled child (per Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry.).
Missouri Required Forms & Documents at a Glance
| MO 500-3293 — Application for License to Operate a Child Care Facility | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
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| MO 500-3291 — Annual Declaration for Licensed Facility | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
| MO 500-3290 — Center Director / Group Child Care Home Provider Approval Request | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
| MO 500-3296 — Center Director / Group Child Care Home Provider Certification Request | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
| MO 500-3294 — Religious Organization Child Care Facility Notice of Parental Responsibility | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
| MO 500-3295 — Request for Revision | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
| MO 500-3307 — Child Care Facility Overlap Request | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
| MO 500-3303 — Child Medical Examination Report (Infant/Toddler/Pre-School) (kept on file) | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
| MO 500-3304 — Medical Examination Report for Caregivers and Staff (kept on file) | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
| MO 500-3317 — Child Care Enrollment Form (kept on file) | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
| MO 500-3299 — Comprehensive Background Check Notification form (submitted to OCBackgroundChecks@dese.mo.gov per RSMo 210.1080) | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
| Imm.P.14 — Missouri DHSS Immunizations In Progress form (per 19 CSR 20-28.040); related exemption forms are Imm.P.11 (Parent/Guardian exemption) and Imm.P.12 (Medical exemption) | Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. |
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Missouri Required Forms & Documents: Frequently Asked Questions
What forms are required for childcare enrollment in Missouri?
Missouri requires the following forms for each enrolled child: MO 500-3293 — Application for License to Operate a Child Care Facility; MO 500-3291 — Annual Declaration for Licensed Facility; MO 500-3290 — Center Director / Group Child Care Home Provider Approval Request; MO 500-3296 — Center Director / Group Child Care Home Provider Certification Request; MO 500-3294 — Religious Organization Child Care Facility Notice of Parental Responsibility; MO 500-3295 — Request for Revision; MO 500-3307 — Child Care Facility Overlap Request; MO 500-3303 — Child Medical Examination Report (Infant/Toddler/Pre-School) (kept on file); MO 500-3304 — Medical Examination Report for Caregivers and Staff (kept on file); MO 500-3317 — Child Care Enrollment Form (kept on file); MO 500-3299 — Comprehensive Background Check Notification form (submitted to OCBackgroundChecks@dese.mo.gov per RSMo 210.1080); Imm.P.14 — Missouri DHSS Immunizations In Progress form (per 19 CSR 20-28.040); related exemption forms are Imm.P.11 (Parent/Guardian exemption) and Imm.P.12 (Medical exemption).
How long must Missouri childcare centers keep enrollment forms on file?
Missouri 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 Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. to confirm the exact retention schedule.
What happens if a Missouri center is missing required child forms during an inspection?
Missing or incomplete required forms are a citable deficiency in a Missouri childcare licensing inspection. Per RSMo 210.245: violating any provision of sections 210.201 to 210.245 (child care licensing law) is a class C misdemeanor for a first offense with a fine not to exceed $750; subsequent offenses are a class A misdemeanor with a fine up to $2,000 per day, not to exceed a total of $10,000. Operating an unlicensed, nonexempt child care facility carries a civil penalty of not less than $750 and not more than $2,000. The department may also deny, suspend, place on probation, or revoke a license for noncompliance (RSMo 210.221 / 5 CSR 25-500.042). Failure by a mandated reporter to report suspected child abuse/neglect is a separate offense (RSMo 210.115 / 210.165).
Does TotReady provide templates for Missouri required forms?
TotReady's enrollment form tool and incident report tool generate Missouri-ready documents pre-filled with the required fields. Visit /tools/enrollment-form and /tools/incident-report to get started.
Missouri childcare licensing rules are amended regularly. This page is compiled from published Missouri administrative codes and statutes for informational purposes only — always verify current requirements with the Missouri Department of Elementary and Secondary Education (DESE), Office of Childhood — Section for Child Care Regulation/Compliance (licensing of Group Child Care Homes and Child Care Centers under 5 CSR 25-500). Licensing authority and rulemaking transferred from the Dept. of Health and Senior Services (DHSS) to the DESE Office of Childhood in 2021; the licensing rules were formally MOVED from 19 CSR 30-62 to 5 CSR 25-500 (Title 5, Division 25, Chapter 500) and the old 19 CSR 30-62 sections now read 'Moved to 5 CSR 25-500.XXX'. DHSS retains the day care immunization rule (19 CSR 20-28.040) and the Family Care Safety Registry. before relying on them. TotReady provides information and document templates, not legal or regulatory advice.