;

* Required Field

Email Address: *

Confirm Email: *

First Name: *

Last Name: *

Street Address: *

Format: 123 Main Street
P.O. Boxes are not allowed.

Apartment:

City: *

State: *

If you live outside of the United States, please contact customer support at 1-866-762-2304 for instructions on how to obtain your replacement parts.

Zip Code: *

Phone: *

Format: XXX-XXX-XXXX

Model number can be located on the label on the crib - Click here for an example label

Model Number: *

I hereby certify that I have personally examined the crib that is the subject of this application. The model number I have selected from the list of affected models are the same model number labelled on my crib. By checking this box, I verify under penalty of perjury that the foregoing is true and correct, and offer my electronic signature attesting to the truth of what I have stated.

Date Code: *

Format: MM/YYYY
Click here to see examples of labels found on either the headboard or foot board of the crib.
Please Note: For model #'s 0102B00, 0102E00, 0108C00, 0108L00, 0302C00, 0302P00, 0308C00, 0308L00, 0312D00, & DA715BC only cribs between specified date ranges are affected.

Date Code: *

Date Code: * Format: MM/YYYY

Made In: *

Date Code: *

Format: MM/YYYY

Made In: * Format: MM/YYYY
Click here to see examples of labels found on either the headboard or foot board of the crib.
Please Note: For model #'s 0102B00, 0102E00, 0108C00, 0108L00, 0302C00, 0302P00, 0308C00, 0308L00, 0312D00, & DA715BC only cribs between specified date ranges are affected.

Date Code: *

Format: MM/YYYY

Made In: *

Assembly Hardware

Drop Side Hardware

Replacement Panels including hardware

Please indicate how you heard about the safety notice: *

Once you have completed entering the relevant information and submitted your request, you will receive an email containing instructions regarding how to obtain your replacement parts.

DO NOT DISCARD ANY CRIB PARTS UNTIL YOU HAVE RECEIVED YOUR REPLACEMENT KIT AND THE CRIB IS FULLY FUNCTIONAL.
IF YOU HAVE MORE THAN 1 CRIB, PLEASE COMPLETE THE PROCESS FOR EACH CRIB.

If you have any difficulties completing this form
or have any questions,
please call 1-866-762-2304