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OCFS-6001 - Child Care Provider, Staff, Volunteer, and Household Member Information

OCFS-6001 - Child Care Provider, Staff, Volunteer, and Household Member Information
OCFS

The OCFS-6001 is an official New York State form used to collect required identifying information for child care providers, staff members, volunteers, and household members involved in licensed, registered, or legally-exempt child care programs. This form supports the comprehensive background check process and ensures that every individual associated with a child care setting is properly documented, screened, and linked to the correct facility records. It must be completed clearly and accurately by each applicant.

The form gathers essential program information, including the child care Program Name, Facility ID Number, and any additional facility IDs to which the applicant’s fingerprints should be associated. Applicants must also identify the type of program (such as Family Day Care, Group Family Day Care, Day Care Centers, School-Age Child Care, or Legally-Exempt programs) and select their role—for example, Provider, Director, Assistant Teacher, Volunteer, Employee, or Household Member.

A detailed Personal Information section captures the applicant’s full name, date of birth, address, contact details, and previous names. The form also asks whether the applicant has lived in another U.S. state or territory in the past five years. If so, page 2 must be completed with all previous out-of-state addresses, as additional clearance forms may be required. Applicants may also provide a Social Security Number voluntarily, which is used solely for identity confirmation under federal and state law.

The OCFS-6001 is available in fillable PDF and printable formats, making it straightforward to download, complete, and submit as part of a background check or licensing application. It is a foundational document in the vetting process for anyone working in or residing at a New York State child care program.

Summary:
Completing the OCFS-6001 ensures that all individuals connected with a child care program are properly identified and screened, helping programs remain compliant and maintain a safe environment for children.