What does the In-Home Day Care Permit Application request?

It requests approval to use a one- or two-family dwelling for day care serving four to twelve children for less than 24 hours.

What information and materials does the application require?

It asks for applicant and site details, a tax parcel number, the type of day care, and floors used. A detailed drawing of the day care area is also required.

Do I need a notary for the In-Home Day Care Permit Application?

No. The application has no notary block and identifies no notarized attachment; the applicant signs and dates it.

Portage, PA · Cambria County

No notary required

In-Home Day Care Permit Application

This application requests approval to use a one- or two-family dwelling in Portage for child day care services for four to twelve children.

What this form is

The application is for day care services provided for less than 24 hours in a dwelling used primarily as a private residence. It asks for applicant and site information, a tax parcel number, the type of day care, and the floors used. Applicants must also submit a detailed drawing showing the day care area, smoke detectors, fire extinguishers, and children's egress path.

Who needs it

A resident seeking approval to provide day care for four to twelve children in a one- or two-family dwelling should complete this application.

How to submit it

The form lists P.O. Box 375, 140 East Carroll Street, Carrolltown, PA 15722, and phone 814-471-0424. It does not name a department or specify a submission method.

About notarization

This application has no notary block or identified notarized attachment; the applicant signs and dates it.

How to submit this form

1
Download The Application
Download the In-Home Day Care Permit Application PDF.
2
Complete The Application
Fill in the applicant and site information, provide the tax parcel number, and identify the day care type and floors used.
3
Prepare The Drawing
Submit a detailed drawing marking the day care area, smoke detectors, Class B fire extinguishers, and children's egress path.
4
Submit The Application
Use the address listed on the form: P.O. Box 375, 140 East Carroll Street, Carrolltown, PA 15722.

Frequently asked questions

What does the In-Home Day Care Permit Application request?: It requests approval to use a one- or two-family dwelling for day care serving four to twelve children for less than 24 hours.
What information and materials does the application require?: It asks for applicant and site details, a tax parcel number, the type of day care, and floors used. A detailed drawing of the day care area is also required.
Do I need a notary for the In-Home Day Care Permit Application?: No. The application has no notary block and identifies no notarized attachment; the applicant signs and dates it.
How do I submit the In-Home Day Care Permit Application?: The form lists P.O. Box 375, 140 East Carroll Street, Carrolltown, PA 15722, and phone 814-471-0424, but does not specify how to submit.

Need something notarized?

This In-Home Day Care Permit Application doesn’t need a notary — but if you have another Portage form that does, a commissioned online notary can help.