Certification Upgrade & Renewal Application

Certification applications are closed December 1, 2022 – January 4, 2023.

Recertifying hospitals due in December received individual notifications with instructions via email. Annual Reports submissions remain open. New application manager platform launches January 4, 2023.

Please review the following considerations prior to beginning
the online application. 

  • The application must be submitted in one session. If you are unable to do this, consider copying the fields required into a separate word document that can be completed and edited prior to the final online submission.
  • Use a suggested web browser. Be sure you are completing the form using one of the following web browsers: Google Chrome, Firefox, or Safari
  • Check your hospital firewall. If you find your hospital firewall may prevent you from uploading documents to submit electronically, please complete the fields required and email the documents separately to hospitalcertification@cribsforkids.org
  • Check for a confirmation message upon submission. If after pressing “Submit,” the “Thank you! Your Hospital Application has been submitted.” text box does not appear, please scroll up through the form to ensure all fields have been properly completed.

* Indicates Required Field

(If you are applying for a new certificate, please fill out the application form on our
Hospital Certification homepage. Click on the pink “Hospital Certification Application Form” button to start your application.)

NOTE: All Complete Submissions will be reviewed within 30 days.   
Incomplete applications cannot be reviewed.  Be sure all narrative elements are addressed (see narrative guide), policy requirements met (see policy checklist) and additional documents as per the level of certification are included.
Application Type: Individual Hospital or Hospital System Application?*
Field is required!
Field is required!
Current Certification Level*
  • - select a level -
  • Bronze
  • Silver
  • Gold
  • Hospital System - Various
Field is required!
Field is required!
Date of Last Certification Designation*
Field is required!
Field is required!

Individual Hospital Certification Application

Contact Information
Hospital Seeking Designation*
Name of hospital complete as it should appear in any certification documents.
Field is required!
Field is required!
Hospital Mailing Address*
Field is required!
Field is required!
Hospital Mailing Address Line 2
Field is required!
Field is required!
City*
Field is required!
Field is required!
State*
Field is required!
Field is required!
Zip Code*
Field is required!
Field is required!
Lead Contact Information
First Name*
Field is required!
Field is required!
Last Name*
Field is required!
Field is required!
Credentials*
Field is required!
Field is required!
Title*
Field is required!
Field is required!
Email Address*
Field is required!
Field is required!
Phone Number*
Field is required!
Field is required!
Secondary Contact Information
First Name*
Field is required!
Field is required!
Last Name*
Field is required!
Field is required!
Credentials*
Field is required!
Field is required!
Title*
Field is required!
Field is required!
Email Address*
Field is required!
Field is required!
Phone Number*
Field is required!
Field is required!
About the Hospital
Choose a level for recertification or upgrade*
Field is required!
Field is required!
To submit an application to become a BRONZE Certified Safe Sleep Hospital, please be able to demonstrate the following:



– Hospital Staff Training and Education

– Hospital Safe Sleep Policy

– Parent Education and Modeling


Field is required!
Field is required!
To submit an application to become a SILVER Certified Safe Sleep Leader, please be able to demonstrate the following:



– Hospital Staff Training and Education

– Hospital Safe Sleep Policy

– Parent Education and Modeling

– Wearable Blanket Program


Field is required!
Field is required!
To submit an application to become a GOLD Certified Safe Sleep Champion, please be able to demonstrate the following:



– Hospital Staff Training and Education

– Hospital Safe Sleep Policy

– Parent Education and Modeling

– Wearable Blanket Program

– Community and Media Outreach

– Associate with, or become, a Cribs for Kids® Partner


Field is required!
Field is required!
Births Per Year*
Field is required!
Field is required!
Units caring for patients under the age of 1 and the number of beds on each unit.*
Field is required!
Field is required!
Acknowledgement of Safe Sleep Images. Your hospital's submission for certification affirms the following:
Infant Safe Sleep Certified Hospitals commit to portray only safe sleep images, both within the hospital, as well as on printed and electronic materials. Any unsafe images must include messaging as follows, "This photo is for artistic purposes only and does not represent AAP infant safe sleep practices."
Field is required!
Field is required!
Hospital System Information
Write N/A if community or independent hospital.
Hospital System*
Field is required!
Field is required!
Hospital System Corporate Address
Field is required!
Field is required!
Hospital System Corporate Address Line 2
Field is required!
Field is required!
City
Field is required!
Field is required!
State
Field is required!
Field is required!
Zip Code
Field is required!
Field is required!
Document Uploads
Note: Hospital firewalls may prevent some uploads. If you find you are not able to upload documents, please submit the application form first then email any documents to hospitalcertification@cribsforkids.org.
Infant Safe Sleep Policy
Upload Your Policy & Select Your Approved Date of Policy (Note: Your policy must be fully implemented for at least 3 months prior to certification application.)
Field is required!
Field is required!
Upload your Infant Safe Sleep Policy
Field is required!
Field is required!
Site Assessment Report
Outlines hospital practices and efforts to meet compliance according to AAP recommendations. Submission may be annotated or fillable version. See ‘Apply’ webpage.
Upload your documents...
Field is required!
Field is required!
Hospital Employee Training Materials
Upload any hospital produced employee training materials.
Upload your documents...
Field is required!
Field is required!
Hospital Family/Caregiver Education Materials
Upload any hospital produced family education materials.
Upload your documents...
Field is required!
Field is required!

Hospital System Certification Application

Hospital System Lead Information
Hospital System Seeking Designation*
Field is required!
Field is required!
Hospital System Corporate Address*
Field is required!
Field is required!
Hospital System Corporate Address Line 2
Field is required!
Field is required!
City*
Field is required!
Field is required!
State*
Field is required!
Field is required!
Zip Code*
Field is required!
Field is required!
System Certification Lead
First Name*
Field is required!
Field is required!
Last Name*
Field is required!
Field is required!
Credentials*
Field is required!
Field is required!
Title*
Field is required!
Field is required!
Email Address*
Field is required!
Field is required!
Phone Number*
Field is required!
Field is required!
System Certification Secondary Contact
First Name*
Field is required!
Field is required!
Last Name*
Field is required!
Field is required!
Credentials*
Field is required!
Field is required!
Title*
Field is required!
Field is required!
Email Address*
Field is required!
Field is required!
Phone Number*
Field is required!
Field is required!
About the Hospital System
Number of Hospitals Seeking Certification*
Field is required!
Field is required!
Complete and Upload the System Certification Worksheet found in the Hospital Certification Toolkit.
List each hospital that is represented by the Hospital System applying for certification.
Upload your document...
Field is required!
Field is required!
Acknowledgement of Safe Sleep Images. Your hospital's submission for certification affirms the following:
Infant Safe Sleep Certified Hospitals commit to portray only safe sleep images, both within the hospital, as well as on printed and electronic materials. Any unsafe images must include messaging as follows, "This photo is for artistic purposes only and does not represent AAP infant safe sleep practices."
Field is required!
Field is required!
Document Uploads
Note: Hospital firewalls may prevent some uploads. If you find you are not able to upload documents, please submit the application form first then email any documents to hospitalcertification@cribsforkids.org.
System-wide Infant Safe Sleep Policy
Upload Your Policy & Select Your Approved Date of Policy (Note: Your policy must be fully implemented for at least 3 months prior to certification application.)
Field is required!
Field is required!
Upload your Infant Safe Sleep Policy
Field is required!
Field is required!
Site Assessment Report
Outlines individual hospital practices and efforts to meet compliance according to AAP recommendations. Note similarities and differences in practices at each facility. Annotated version required. See ‘Apply’ webpage.
Upload your documents...
Field is required!
Field is required!
System-wide Employee Training Materials
Upload any system produced employee training materials.
Upload your documents...
Field is required!
Field is required!
System-wide Family/Caregiver Education Materials
Upload any system produced family education materials.
Upload your documents...
Field is required!
Field is required!
Submission of this application certifies careful review of the requirements for Infant Safe Sleep National Hospital Certification as published on the Cribs for Kids website and its Hospital Certification Tool Kit. Our hospital/system:


– Provides patient care as per AAP Infant Safe Sleep Recommendations

– Follows Cribs for Kids Infant Safe Sleep Photography Guidelines

– Does not distribute, nor partners with any agencies or organizations that distribute infant sleep boxes or other unapproved infant sleep spaces


Field is required!
Field is required!
By clicking "agree" you are confirming that you have carefully reviewed your application and agree to the statement above.
Field is required!
Field is required!