CLARIS Web Application

Childcare Licensing And Regulation Information System

Create CLARIS User Profile

Good Beginnings Last a Lifetime!

Please enter the following:

I am creating a Child Care Account for :

Person Owner
Organization Owner (Your facility is owned by a corporation, LLC, LLP, government entity/agency or school district)

Do you have a KDHE Organization ID ?

Yes
No

Organization Id :

Your Organization Legal Name :
(Use the legal name you use for tax purposes)

Doing Business As:

Corporate Business Entity Identification Number (CBEIN) :

Federal Entity ID (FEIN):

State TaxID #:

Web Address :

Do you have a KDHE Person ID ?

Yes
No

Use the legal name that is used for tax purposes.

First Name :

Middle Name :

Last Name :

Social Security Number:

Date of Birth :

MMDDYYYY *

Gender :

Male Female

Race:

Person ID :

Date of Birth :

*MMDDYYYY*

Relationship :

Effective Date :

Email Address :

Primary Phone :

Ext: *
Use numbers only. Special characters are not allowed.

License Number:
If you have a license number, enter the first 7 digits including the leading zeros. DO NOT enter the hyphen and 3 numbers.

Retype the characters from the picture:

By Agreeing to this CLARIS User Security and Confidentiality Agreement, I agree to:

populated upon choice of CLARIS account.

I have read, understand, and agree to abide by the CLARIS User Security and Confidentiality Agreement. I understand that the KDHE Child Care Licensing CLARIS Security Manager may terminate my access to CLARIS for any reason. I understand that my access to CLARIS will be terminated for any violations of the CLARIS User Security and Confidentiality Agreement and that I may be subject to penalities imposed by law.

Do you agree with the terms of this usage agreement?

I Agree I Do Not Agree

Kansas Department of Health and Environment
Division of Health
Bureau of Family Health
1000 SW Jackson, Suite 200
Topeka, KS 66612-1274
Telephone: (785) 296-1270
To submit Application Documents email: kdhe.cclr@ks.gov
To submit a question(s) for Child Care Licensing: CCL Inquiry Forms

Get Directions to Curtis State Office Building