Skip to Content
(UB)
University at Buffalo (UB)
University at Buffalo Child Care Center
Make a Gift
Contact Us
  • 12/2/22 Welcome
    • 5/31/22 About UBCCC
    • 4/6/21 Mission
    • 9/27/19 License & Accreditation
    • 5/2/25 Administration & Staff
    • 3/14/23 Center Profile
    • 9/3/25 Board of Directors
    • 4/18/24 Collaboration and Partnerships
    • 10/13/25 Hours & Locations
  • 3/6/20 Enrollment
    • 4/26/23 Who We Serve
    • 5/2/25 Application & Waitlist
    • 6/18/25 Tuition & Fees
    • 1/3/25 Tour the Centers
    • 2/6/25 Enrollment FAQs & Tips
  • 3/6/20 Programs
    • 3/14/23 Curriculum
    • 3/14/23 Infants
    • 3/14/23 Toddlers
    • 3/14/23 Preschool
  • 11/7/23 Parents
    • 6/18/25 Handbook and Policies
    • 8/22/25 Center Calendar
    • 10/10/25 Meal Menus
    • 2/7/23 Forms
    • 3/14/23 Communication & Alerts
    • 3/27/25 Kids & Families Corner
  • 11/20/25 News & Events
    • 11/20/25 **CENTER CLOSINGS**
    • 10/14/25 **CENTER UPDATES**
    • 10/14/25 UBCCC T-shirt Contest 2025
    • 9/3/25 Buffalo Bills Friday
    • 9/22/25 Football Mania fundraiser
    • 9/7/22 Emily Press Labels
    • 4/27/15 Archived News & Events
  • 3/6/20 Giving
    • 9/20/19 Why Give?
    • 7/3/25 Ways to Give
    • 11/17/22 Testimonials
  • 3/6/20 Employment
    • 10/2/25 Careers @ UBCCC
    • 2/29/24 UB Work Study Program
  • 12/2/22 Welcome
  • 3/6/20 Enrollment
  • 3/6/20 Programs
  • 11/7/23 Parents
  • 11/20/25 News & Events
  • 3/6/20 Giving
  • 3/6/20 Employment
Search
Make a Gift
Contact Us
  • University at Buffalo Child Care Center >
  • Parents >
  • Forms
  • Welcome
  • Enrollment
  • Programs
  • Parents
    • Handbook and Policies
    • Center Calendar
    • Meal Menus
    • Forms
    • Communication & Alerts
    • Kids & Families Corner
  • Giving
  • Employment

Forms

Frequently used forms at your fingertips. If you need the accessible version of these documents, please contact the UB Child Care Center at ubccc@buffalo.edu.

Photo - toddler reading a big book.

Administrative Forms

Extra Time Request Download pdf(124 KB)
Schedule Change Request form Download pdf(192 KB)
Withdrawal Notice Download pdf(128 KB)

Medical Forms

Annual Child in Care Medical Statement (OCFS-LDSS-4433)
Medical Consent (OCFS-LDSS-7002) Download docx
Non-Medication Consent (OCFS-6010)
Individual Health Care Plan for a Child With Special Health Care Needs (OCFS-LDSS-7006)
  • University at Buffalo Child Care Center >
  • Parents >
  • Forms
Site Index

UBCCC NORTH CAMPUS

100 St Rita's Lane
Amherst, NY 14260
Tel: 716-645-6509
Fax: 716-645-6511
Mon - Fri: 7:30 a.m. - 5:30 p.m.

UBCCC SOUTH CAMPUS

10 Goodyear Road
Buffalo, NY 14214-3011
Tel: 716-829-2226
Fax: 716-829-2291
Mon - Fri: 7:30 a.m. - 5:30 p.m.

Join UBCCC

  • 5/2/25 How to Enroll
  • 10/2/25 Employment Opportunities
  • 2/29/24 UB Work Study Program

Connect With Us

Facebook

Site Tools

  • Report a Website Problem
NAEYC Accredited.
QualityStarNY Rated.
University at Buffalo (UB), The State University of New York

About Our Photos and Videos: Some photos or videos that appear on this site may have been taken prior to the COVID-19 pandemic and therefore may not accurately reflect current operations or adherence to UB’s Health and Safety Guidelines.

© 2025 University at Buffalo. All rights reserved.  |  Privacy  |  Accessibility

Your Privacy is Important To Us.

Buffalo.edu uses cookies to help build a better website experience for our visitors. Learn more in our Privacy Policy.