Breastfeeding Friendly Child Care Designation Self-Assessment Form

After your application for the Breastfeeding Friendly Child Care Designation is accepted, you can download and fill out the following form and submit it using the same form used for the Breastfeeding Friendly Child Care Designation Eligibility Application form.

Please do not submit this form until after your Breastfeeding Friendly Child Care Designation application form is accepted!

Download Breastfeeding Friendly Child Care Designation Self-Assessment Form (PDF)

Please Note: If you have trouble editing the PDF form, you can download the Adobe Acrobat Reader software to open and fill out the form.

Once you have filled out your form, you can submit it using this form on the website: Click Here to Submit Self-Assessment Form