Personal information you provide may be used for secondary purposes [Privacy Law, §15.04(1)(m)].

CHILD CARE PROVIDER PORTAL (CCPP) ACCESS REQUEST
Step 1: User Information
  Please select one of the following  

  User ID   *  (From DWD Account Creation Screen)
  First Name   *   MI 
  Last Name   *
  Email   **
  Mother's Maiden Name   **
  Organization/Child Care Center Name   *
  Daytime Phone   ** Ext 
  Director/Operator/Supervisor Name   **
  Director/Operator/Supervisor Phone   ** Ext 
      * Denotes a field that is always required.
** Denotes a field that is required only when entering a "First time request for access to CCPP."

You must enter information in the "Provider Portal Access Request" section, shown below in Step 2, in order to gain access to the correct provider/location.
  • Enter the 10-digit Provider Number and the 3-digit Location Number. These numbers are commonly found in most direct communications from DCF. If you want access to more than one location, you must indicate each location (001, 002, etc.). If you need access to more than 10 locations, submit additional request forms.
  • Select the county in which the child care program is located.
  • Enter today's date in the “Effective Begin Date” field. Only enter a date in the “Effective End Date” field if the access should be terminated.
Step 2: Provider Portal Access Request
  Provider # Loc # Facility Number County Name Effective Begin Date Effective End Date
1. 
select
RadDatePicker
RadDatePicker
Open the calendar popup.
 
RadDatePicker
RadDatePicker
Open the calendar popup.
 
2. 
select
RadDatePicker
RadDatePicker
Open the calendar popup.
 
RadDatePicker
RadDatePicker
Open the calendar popup.
 
3. 
select
RadDatePicker
RadDatePicker
Open the calendar popup.
 
RadDatePicker
RadDatePicker
Open the calendar popup.
 
4. 
select
RadDatePicker
RadDatePicker
Open the calendar popup.
 
RadDatePicker
RadDatePicker
Open the calendar popup.
 
5. 
select
RadDatePicker
RadDatePicker
Open the calendar popup.
 
RadDatePicker
RadDatePicker
Open the calendar popup.
 
6. 
select
RadDatePicker
RadDatePicker
Open the calendar popup.
 
RadDatePicker
RadDatePicker
Open the calendar popup.
 
7. 
select
RadDatePicker
RadDatePicker
Open the calendar popup.
 
RadDatePicker
RadDatePicker
Open the calendar popup.
 
8. 
select
RadDatePicker
RadDatePicker
Open the calendar popup.
 
RadDatePicker
RadDatePicker
Open the calendar popup.
 
9. 
select
RadDatePicker
RadDatePicker
Open the calendar popup.
 
RadDatePicker
RadDatePicker
Open the calendar popup.
 
10. 
select
RadDatePicker
RadDatePicker
Open the calendar popup.
 
RadDatePicker
RadDatePicker
Open the calendar popup.
 
 
 

DWS-12552 (R.3/2017)