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Application & Forms for Parents

Families interested in applying for the Child Care Certificate Program must complete the online application found by clicking on the link below. As of January 2014, DECCD discontinued paper applications.

In addition, the Parent Statement of Agreement Form and Parent’s Rights and Responsibilities documents are provided below for your records.

If you are applying for services for a child that is not your biological child, please submit the Guardianship Form provided below with the rest of the documentation described in the application and follow-up email provided to you at the time of application.

 Parent Forms

If you are changing the provider for your child care, you must download and complete the Change in Provider Form to ensure our records are accurate. This form must be submitted to the MDHS, DECCD two weeks in advance of any change of provider. Changes not received within the two week time frame will be processed two weeks from date of receipt.

If you are a parent and need to change the information in our files about you or your child, please click the following link if you wish to do any of the following:

  • Change your address
  • Report a Change in Household Size
  • Report a Change in Employment
  • Report a Parent or Child Name Change
  • Discontinue Certificate Services



Division of Early Childhood Care & Development
Mississippi Child Care Payment Program (CCPP)
Toll-Free: 800-877-7882
DECCD | PO Box 352 | Jackson, MS 39205
CCPP inquiries:
Other DECCD programs:

Click to report Child Care Fraud

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