Sample forms and templates

The below forms and templates are available for providers to use or amend where necessary:

• Compliance history statement template for a person to be a person in day-to-day charge or a nominated supervisor 
• Compliance history statement template for a prospective family day care educator 
• Excursion risk assessment template
• Transportation risk assessment template
• Incident, injury, trauma and illness record  
• Medication record 
• Prohibition notice declaration for prospective staff members 
• Quality Improvement Plan template 
• Record of visitors to family day care residence or approved venue 
• Staff record 
• Record of staff engaged or employed by family day care service 
• Register of family day care educators, co-ordinators and assistants