Children'S Products Certification

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Children’s Products Certification
Name of Child Care Center/Home_______________________________________
As of ______________________________________________________________
I certify that all bulletins and notices issued by the United States Consumer
Product Safety Commission regarding unsafe children’s products have been
reviewed.
I also certify that there are no unsafe children’s products in the center or home
except for the following:
 A product that is antique or collectible children’s products and is not used
by, or accessible to any child
 An unsafe children’s product that is being retrofitted to make it safe and
the product is not used by, or accessible to any child.
______________________________________
____________________
Signature
Date Signed
_______________________________________
Name of person signing form (please print)
Role at center/home
(please check appropriate box):
 Permit holder/primary caregiver
 Governing body designee
 Director
 Other _________________________________

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