Mower County, MN · Mower County

No notary required

Family Child Care Variance Request

Family child care license holders use this form to request a new or renewed variance from a rule through their county.

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

This form lets a family child care license holder request a new variance or renew a current one. The request must explain why the variance is needed, how children’s health and safety will be protected, and the requested time period. It also asks for license and program details, the rule involved, and any child-specific or scheduled-day details; applicable supporting documents must be attached.

Who needs it

A family child care license holder seeking a new or renewed variance should complete a separate form for each request.

How to submit it

Review your county’s procedures and criteria, and contact your licensor with questions. Submit it to the county office named on the form; check the county website for current contact details.

About notarization

This form is signed electronically without a notary; the signer agrees the information is true and accurate, and applicable supplemental documents may be attached.

How to submit this form

  1. 1

    Download the Form

    Download the Family Child Care Variance Request PDF.

  2. 2

    Complete the Request

    Enter license and program details, explain the reason and child-safety measures, and provide the requested time period.

  3. 3

    Gather Attachments

    Attach applicable supplemental documentation. Complete the attendance schedule or parent notice only if directed by your licensor.

  4. 4

    Sign and Submit

    Provide the electronic signature and date, then submit the form to the county office named on it.

Frequently asked questions

Do I need a notary for the Family Child Care Variance Request?
No. The form provides for an electronic signature and does not require a notary. Attach applicable supplemental documentation if needed.
How do I submit a Family Child Care Variance Request?
Review your county’s procedures and criteria, then submit the form to the county office named on it. Contact your licensor with questions.
What information does the variance request ask for?
It asks for license holder and program details, the rule to be varied, reasons for the request, child-safety measures, and the requested start and end dates.
Do I need to complete a separate form for each request?
Yes. The form instructs applicants to complete one form for each variance request and says incomplete requests will be returned.

Need something notarized?

This Family Child Care Variance Request doesn’t need a notary, but if you have another Mower County form that does, a commissioned online notary can help.