Mower County, MN · Mower County
Family Child Care Allergy Information Form
Parents or guardians complete this form to give a family child care home information about a child’s allergies, triggers, symptoms, and treatment.
At a glance
- Issued by
- City of Mower County · Mower County, Mower County, Minnesota
- Notarization
- Not required: file this form without a notary.
- Official source
- co.mower.mn.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The form records a child’s known allergies and information caregivers need about triggers, items to avoid, symptoms, treatment, and response procedures. The document says a license holder must obtain allergy information from a parent or legal guardian before admitting a child for care, keep the completed form on file at the family child care home, and review it annually with caregivers.
Who needs it
A parent or legal guardian completes one form for each child with known allergies before the child is admitted to family child care.
How to submit it
Submit it to the county department named on the form; check the county website for current contact details.
About notarization
This form is signed and dated without a notary; the parent or guardian provides the signature, and no notarized attachment or related step is listed.
How to submit this form
- 1
Download the Form
Download the Family Child Care Allergy Information Form.
- 2
Complete Child Information
Fill out one form for each child, including the child’s and parent or guardian’s information.
- 3
Describe Allergy Care
List known allergies, triggers, items to avoid, symptoms, treatment, and response procedures.
- 4
Sign and Provide the Form
The parent or guardian signs and dates the form and provides it to the license holder before the child is admitted for care.
Frequently asked questions
- Who completes the Family Child Care Allergy Information Form?
- The child’s parent or legal guardian completes one form for each child and provides information about known allergies before the child is admitted for care.
- What information does the allergy form ask for?
- It asks for child and parent or guardian details, allergy triggers, items to avoid, symptoms, treatment or medication, and procedures for responding to an allergic reaction.
- Do I need a notary for the Family Child Care Allergy Information Form?
- No. The parent or guardian signs and dates this form without a notary, and the document lists no notarized attachment or related step.
- How do I submit the Family Child Care Allergy Information Form?
- The document says the license holder obtains the allergy information and keeps the form on file at the family child care home. Check the county website for current contact details.