Rev. 4/2013fcch
Regulatory Services Bubble Sheet Request Form
* Name:
* Address:
* City: County: State: Zip: Code:
* Area Code & Telephone Number: Date:
*Email Address:___________________________________________________________________________
* Agency:
*Please print or type
Printed Material Qty. Ordered
Request for Additional Bubble Sheets (purple)
Please allow at least 1-2 weeks for processing the order by mail or 1-2 days for electronic mail request.
Family Child Care Home Application is now available electronically.
Here are the links to additional materials that can be accessed online:
Family Child Care Handbooks-
Family Child Care Requirements
Child Care Law
(Chapter 110 General Statutes)
Mail Order Form To: DCDEE
Attn.: Regulatory Services
2201 Mail Service Center
Raleigh, NC 27699-2201
1-800-859-0829(in state)
Fax Order Form to: (919)661-4845
Website Address:
For Child Development and Early Education Use Only
Filled By: Date:
Received By Date: