Legal Nonlicensed Registration Packet

Registration Forms

Complete the forms below and return them to the Child Care Assistance Program Provider Payment Contact:

• Direct Deposit for the Minnesota Child Care Assistance Program (PDF)
• Legal Nonlicensed Provider Registration and Acknowledgement (PDF)
• Online Billing Registration (PDF)
• W-9 Request for Taxpayer ID and Certification (PDF)

Note to Out-of-State Providers

Submit a copy of your license or self-declaration certificate along with the above forms.

Reference Documents

For more information, review related documents for the Child Care Assistance Program (CCAP).