CHILDREN’S PRODUCT CERTIFICATE Product Description (include fabric / material content): Style #: Purchase Order #: Importer of Record: Product Manufacturer, Location, & Date of Manufacture Name: Address: Address: Contact name / Tel. & E-mail.: Telephone: Date of Manufacture: Contact information for the person maintaining record of test results (name, address, tel, email) : The product described above complies with all applicable U.S. Consumer Product Safety Commission rules. This certification is based on a reasonable testing program conducted by the supplier through a CPSC-Accepted Laboratory using samples representative of the production lot. CPSC Children’s Product Safety Requirements ☐ Subject to Flammability standard of textiles & apparel Exempt from flammability standard of textiles and apparel ☐ (1) Exempt from test: Plain surface fabrics, regardless of fiber content, weighing 2.6 ounces per square yard or more ☐ (2) Exempt from test: All fabrics, both plain surface & raised-fiber surface, regardless of weight, made entirely from the following fibers or entirely from combination of the following: acrylic, modacrylic, nylon, olefin, polyester, wool ☐ Flammability of children's sleepwear ☐ Lead for accessible surface coatings ☐ Lead for accessible substrates ☐ Phthalates ☐ Small Parts / Choking Hazard ☐ Sharp Points & Sharp Edges ☐ Attachment strength of components – Pull tests ☐ Attachment strength of components – Torque tests ☐ Toy Safety Standard ☐ Other Lab Testing Information CSPC Accepted Testing Laboratory: Tel. # & Email: Address: Testing Date: Report #: Vendor / Company Name: Date CPC completed: Print name & title: Phone & e-mail: Regulation Citation 16 CFR 1610 16 CFR 1610.37(d)(1) 16 CFR 1610.37(d)(1) 16 CFR 1615, 1616 CPSC-CH-E1003.09.1 CPSC-CH-E1001.08.3 / E1002.08.3 CPSC-CH-C1001-09.3 CPSC / 16 CFR 1501 16CFR 1500.48 & 49 16 CFR 1500.51-53 Part F 16 CFR 1500.51-53 Part E ASTM F963-11