Parent: Please immediately give this form to your child care provider to complete.
Provider help: for help completing this form contact your local Child Care Resource and Referral (CCR&R) office.
Infant/Toddler CPR/First Aid training: strictly online CPR training is not acceptable.
License-exempt non-relative care: after the trainings and water testing, mail the form within 30 days from the date issued in the “ODHS branch use only” section.
Ink: complete and sign the attached Child Care Provider Listing Form using black or blue ink.
| Question | Answer |
|---|---|
| Form Name | DELC 7494d |
| Form Length | 17 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 51 min |
| Edition | 07/2023 |
| Matches the agency's file | Yes, checked October 4, 2026 |
| Other names | DELC 7494d, DELC 7494, Child Care Provider Listing Form, Oregon child care provider form |
| Official source | DELC 7494d (Rev 07/2023), |
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