2021 Accreditation Extension Request Form
Attention Accredited Providers:
Please fill this form out to request an extension, only if you expire prior to December 31, 2021.
All extensions will be granted and emailed to you by April 23, 2021.
DO NOT submit this form if you fall into one of the following categories:
> If you are a 1st time accreditation applicant, you are NOT eligible for an extension.
> You have already received an extension from NAFCC until December 31, 2021.
> You are participating in the virtual observation cohort.
First Name, Middle Initial & Last Name
Child Care Name
Member ID #
City, State & Zip code
When Does Your Accreditation Expire?