IPCDC-Forms - ASI CSULB Dev Page

ALL Forms

Subject Link	Description
2024-2025 IPCDC Calendar	View the dates that the IPCDC is open/closed
Child Care Rates / How To Pay Your Bill	View childcare rates and instructions on how to pay your bill.
Identification & Emergency Information Changes	Make changes to address, phone number, or people authorized to pick-up/drop-off your child.
Schedule Adjustment Request	Make changes to your child’s current childcare schedule. $20 fee may apply.
Enrollment Status Change Form	Use this form to request an extended absence due to illness/injury, withdraw from the program, request a leave of absence, or change your parent status.
Absence Verification Form	FOR STATE SUBSIDY PARENTS ONLY. Must be completed each time your child is absent.
Dietary Accommodations Form	Parents/legal guardians must complete this form if children have any food, milk or formula accommodations. You may also complete this form to decline participation in our food program.

Subject Link	Description
2024-2025 IPCDC Calendar	View the dates that the IPCDC is open/closed
Child Care Rates / How To Pay Your Bill	View childcare rates and instructions on how to pay your bill.
Identification & Emergency Information Changes	Make changes to address, phone number, or people authorized to pick-up/drop-off your child.
Schedule Adjustment Request	Make changes to your child’s current childcare schedule. $20 fee may apply.
Enrollment Status Change Form	Use this form to request an extended absence due to illness/injury, withdraw from the program, request a leave of absence, or change your parent status.
Absence Verification Form	FOR STATE SUBSIDY PARENTS ONLY. Must be completed each time your child is absent.
Dietary Accommodations Form	Parents/legal guardians must complete this form if children have any food, milk or formula accommodations. You may also complete this form to decline participation in our food program.

Subject Link	Description
2024-2025 IPCDC Calendar	View the dates that the IPCDC is open/closed
Child Care Rates / How To Pay Your Bill	View childcare rates and instructions on how to pay your bill.
Identification & Emergency Information Changes	Make changes to address, phone number, or people authorized to pick-up/drop-off your child.
Schedule Adjustment Request	Make changes to your child’s current childcare schedule. $20 fee may apply.
Enrollment Status Change Form	Use this form to request an extended absence due to illness/injury, withdraw from the program, request a leave of absence, or change your parent status.
Absence Verification Form	FOR STATE SUBSIDY PARENTS ONLY. Must be completed each time your child is absent.
Dietary Accommodations Form	Parents/legal guardians must complete this form if children have any food, milk or formula accommodations. You may also complete this form to decline participation in our food program.