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COVID-19 Emergency Child Care Provider Application Form

Please complete this form if you are the owner of a North Carolina child care facility that is willing to meet the requirements outlined below to remain open or reopen during the COVID-19 emergency (April 1 to May 31). Once you submit this form, you will be contacted by the NC Division of Child Development and Early Education for more information.

Child Care Provider Application Forms must be submitted by 11:59 p.m. on March 31. Child care facilities that do not receive approval from DCDEE by April 1 will not be approved to continue providing child care until further notice.

* Required Fields

I. Facility Information


License Number *




2201 Mail Service Center | Raleigh, NC 27699-2200
919-814-6300 | 1-800-859-0829 (In State Only)

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