OCFS-6003 - References-Child Day Care Programs

The OCFS References Form is an official document required by the New York State Office of Children and Family Services (OCFS) for individuals participating in child day care programs. This form collects verified employment and personal references to support background checks and ensure that child care providers, assistants, substitutes, teachers, directors, and volunteers meet state standards for safety and suitability.

The form requires applicants to provide two mandatory references—one employment reference and one personal reference—with the option to include a third. Relatives cannot be listed, and applicants who have worked outside the home must include at least one employer. The form is used across Family Day Care, Group Family Day Care, Small Day Care Centers, Day Care Centers, and School-Age Child Care programs.

Each reference entry includes detailed contact information such as name, address, business name, daytime phone number, email, and language spoken. The form also asks applicants to indicate their role in the child care program, ensuring the reference check aligns with the applicant’s duties. Programs use this information to verify character, work history, and readiness to work in a child-centered environment.

This fillable and printable form is available for download as a PDF or DOCX template, allowing applicants to complete it clearly and accurately before submitting it as part of their licensing or hiring documentation.

Summary:
The OCFS References Form helps child care providers demonstrate their qualifications and reliability, supporting New York State’s commitment to maintaining safe, well-vetted child care environments.