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Indiana Safe Sleep Program SAFE SLEEP FORM MOTHERS DEMOGRAPHIC INFORMATION MOTHERS RID NUMBER: DATE OF BIRTH: FIRST NAME: LAST NAME: MAIDEN NAME: DO YOU HAVE OTHER CHILDREN: Yes Coif, how many? PLEASE
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What is safe sleep form?
Safe sleep form is a document used to record and comply with safe sleep practices for infants.
Who is required to file safe sleep form?
Child care providers and facilities are required to file safe sleep form.
How to fill out safe sleep form?
Safe sleep form can be filled out by providing information on safe sleep practices followed for infants in child care.
What is the purpose of safe sleep form?
The purpose of safe sleep form is to ensure that infants are provided with a safe sleeping environment in child care settings.
What information must be reported on safe sleep form?
Information such as sleeping position, crib safety, and sleep environment must be reported on safe sleep form.
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