About This Checklist
Evaluate your nursery setup for optimal sleep conditions including light, sound, temperature, and safety.
Use this checklist to make sure you have everything needed for nursery sleep environment audit. Check off each item as you complete or gather it. Work through the sections in order.
How to Use This Checklist
- Print this page or save it for easy reference.
- Work through each section in order.
- Check off items as you complete them.
- Use the Notes column to record details, dates, or reminders.
- After completing all sections, do the Final Review at the bottom.
Pro Tip: Call the processing office to confirm your submission was received if you have not gotten acknowledgment after 2 weeks.
Nursery Sleep Environment Requirements
These items are specific to nursery sleep environment audit. Gather each one before submitting.
| Done | Item | Notes |
|---|---|---|
| ☐ | 3 to 5 day sleep log completed | Record all sleep and wake times |
| ☐ | Room temperature check (68 to 72 F) | Use a room thermometer |
| ☐ | Blackout curtains or shades installed | Room should be very dark |
| ☐ | White noise machine or app ready | Volume no louder than a shower |
| ☐ | Age-appropriate wake windows identified | Check recommendations for your child's age |
| ☐ | Bedtime routine written out | 15 to 30 minutes, same steps each night |
| ☐ | Pediatrician consulted on night feeds | Confirm which feeds are nutritional vs. habitual |
| ☐ | DD-214 or separation documents | Must show character of discharge |
| ☐ | Service treatment records | Request from NPRC if not in your possession |
| ☐ | VA medical records for claimed conditions | Print from My HealtheVet |
| ☐ | Private medical records and nexus letter | Must link condition to service |
| ☐ | Buddy statements from fellow service members | Signed and dated |
| ☐ | Personal statement describing each condition | Include impact on daily life |
General Documents
These standard items are needed alongside your nursery sleep environment audit-specific materials.
| Done | Item | Notes |
|---|---|---|
| ☐ | Valid government-issued photo ID | Check expiration date |
| ☐ | Copies of all documents (keep originals) | |
| ☐ | Prior correspondence or case numbers related to this matter | Include all reference numbers |
| ☐ | Contact information for all parties involved | Names, addresses, phone numbers |
Final Review
Complete this final check after gathering everything for nursery sleep environment audit.
| Done | Item | Notes |
|---|---|---|
| ☐ | All required fields on the form are complete | No blanks on required fields |
| ☐ | All required signatures are in place | Signed and dated |
| ☐ | Supporting documents attached and labeled | In the order listed |
| ☐ | Filing fee included (if applicable) | Correct amount and payment method |
| ☐ | Complete copy made for your personal records | |
| ☐ | Submission addressed to the correct office | Verify the mailing address |
| ☐ | Trackable mailing method used | Save the tracking number |
Once every item is checked, your nursery sleep environment audit submission is ready.
Reminder: Missing even one required item can delay processing by weeks. Take five extra minutes to verify everything before sealing the envelope.