Request a Performance Summary Card
for a Group Child Care Center

Group child care centers are required to post a performance summary card. To request a new card, complete this form. The new card will be mailed to the address on file.

If you operate a different type of child care in New York City, you are not required to post a performance summary card. If you have questions, call your Bureau of Child Care Borough Office.

Child Care Center Information

Question Title

Child Care Center Name: (Required.)

Question Title

Permit Number: (Required.)

Question Title

Center Address: (Required.)

Question Title

Phone (Required.)

Question Title

Email Address: (Required.)

Question Title

Center Contact Name: (Required.)

Question Title

Why are you requesting a new performance summary card? (Required.)

My program's card was lost, damaged or never received

My program had a new inspection, or other information has changed on the card

Other (please describe)

Check the box below to have a copy of your request sent to you by email. Keep this email in case an inspection occurs while waiting for a replacement card.

Request a Performance Summary Card for a Group Child Care Center

Question Title

* Child Care Center Name: (Required.)

Question Title

* Permit Number: (Required.)

Question Title

* Center Address: (Required.)

Question Title

* Phone (Required.)

Question Title

* Email Address: (Required.)

Question Title

* Center Contact Name: (Required.)

Question Title

* Why are you requesting a new performance summary card? (Required.)

Request a Performance Summary Card
for a Group Child Care Center

Child Care Center Name: (Required.)

Permit Number: (Required.)

Center Address: (Required.)

Phone (Required.)

Email Address: (Required.)

Center Contact Name: (Required.)

Why are you requesting a new performance summary card? (Required.)