NECPA - Change in Ownership Form

The purpose of this form is to notify the NECPA Commission that your program has changed ownership. From the date of ownership change, your program will be granted a six month Accreditation Extension. Your program will have six months to complete the Self Assessment Instrument and schedule a Verification Visit in order to maintain your program's current accreditation.

PLEASE SUBMIT THIS FORM TO BE ELIGIBLE FOR A 6 MONTH CHANGE IN OWNERSHIP EXTENSION.

NECPA Site Number (8-Digits)*
Change in Ownership Date*
What date was the change in ownership effective?
MM slash DD slash YYYY
Program Name Upon Initial Accreditation*
What was the name of the program under the old ownership?
Program Name Under New Owner*
What is the name of the program under the NEW ownership?
Street Address*
Street Address Address Line 2 City State ZIP Code
Is this also your shipping address?*
- Yes
- No
Shipping Address*
Street Address Address Line 2 City State ZIP Code
Director*
First Last
Is this a new Program Director?
- No, this is the same Director.
- Yes, and we have sent a Self Report.
- Yes, and we NEED TO SUBMIT a Self Report. Click here to Submit the Self Report.
Program Email Address*
Phone Number*
New Owner - Full Name*
New Owner - Phone Number*
New Owner - Email Address*
Alternate Contact - Full Name*
Alternate Contact - Phone Number*
Alternative Contact - Email Address*
State License or Registration Number*
Please Upload a Copy of Your State License*
Accepted file types: jpg, gif, png, xlsx, xlx, csv, pdf, Max. file size: 50 MB.
License Capacity*
Please enter the total license capacity noted on your state license.
Number of Classrooms*
Number of Buildings*
Please select all ages served at the program:*
- Select All
- 6 weeks to 15 months
- 16 months to 23 months
- 24 months to 35 months
- 3 years to 5 years
- School-Age (Before & After Care)
Would your program be willing to allow the NECPA to use your verification visit as a training opportunity for NECPA Verifiers?*
- Yes
- No
Days of Operation*
- Select All
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Hours of Operation*
Five Visit Block Out Dates*

*Visit Block Out Dates are any days that your program would not be available for a verification visit. You may have five block out days. Days must be listed above in order of preference. The NECPA Office is closed on all federal holidays and will not conduct verification visits on these days.
Is your program participating in Child Care Aware of America's Military Fee Assistance program?*
- Yes
- No
Learn more about the program here: https://www.childcareaware.org/fee-assistancerespite/feeassistancerespiteproviders/feeassistance.
Is your program working with a third-party consultant during the self-study phase?*
- Yes
- No
Consultant Name
First Last
Consultant Email
Change in Ownership Fees
This includes both your self study application fee and your verification visit request fee.
License Capacity 7-60 Children ($1,540)*
Price:
Fees based upon license capacity, total will automatically update with selection. This includes the enrollment fee ($385) and the visit request fee ($1,155).
License Capacity 61-120 Children ($1,678)*
Price:
Fee based upon license capacity, total will automatically update with selection. This includes the enrollment fee ($413) and the visit request fee ($1,265).
License Capacity 121-240 Children ($1,870)*
Price:
Fee based upon license capacity, total will automatically update with selection. This includes the enrollment fee ($495) and the visit request fee ($1,375).
License Capacity 241+ Children ($2,035)*
Price:
Fee based upon license capacity, total will automatically update with selection. This includes the enrollment fee ($550) and the visit request fee ($1,485).
Additional Products (Optional)
Would you like to purchase Additional Self Study Products?
- Yes
- No
Please Select Your Additional Self Study Products
- Select All
- Additional NECPA Self Assessment Instrument (One copy is included with application fee)
- Additional NECPA Standards Book (One copy is included with application fee)
- Additional Documentation Box Labels (One set is included with application fee)
- Parent Flyers (Flyer designed to acquaint parents with the accreditation process and its value, 25 per order)
Would You Like to Purchase Additional Visit Block Out Dates?
- Yes
- No
Additional Visit Block Out Date Fee Quantity
Price: $25.00
Pricing is per EACH additional block out date.
Please List Your Additional Block Dates Requested:
Would you like to reduce the Visit Scheduling Window?
- Yes
- No
Expediting this process will shorten your scheduling window from 120 days to 60 days. Choosing this option will begin visit scheduling immediately.
Expedited Verification Visit Scheduling Fee
Price:
Would you like to expedite your program's results?
- Yes
- No
Expediting this process will shorten your Council Review and Result timeline to two weeks from the day your visit materials are received at the NECPA Office. Results are issued 8 weeks from the day of the visit if not expedited.
Expedited Results Fee
Price:
Receive your results within 2 weeks of your visit materials arriving at the NECPA Office.
NECPA Process Understandings and Agreements

Self Study and Award Maintenance
1) I understand that the NECPA accreditation is valid for three years with the submission of an Annual Report during each of the accreditation years.
2) I understand that a NECPA Accredited program is required to maintain NECPA standards, requirements and physical plant under which the program is awarded accreditation.
3) I understand that the NECPA Commission reserves the right to revoke the accreditation of any program found to be out of compliance with the NECPA standards.

Verification Visit
1) I understand that ALL questions in the yellow AND blue sections of the Self Assessment Instrument must be answered/circled prior to my visit.
2) I understand that surveys must be anonymously collected from at least 70% of my full and part time staff and 50% of the families we serve.
3) I understand that if I deny my proposed verification visit date for any reason, my program’s accreditation will be immediately revoked, forfeiting the six month accreditation extension.
4) I understand that my visit will be scheduled within 120 days (or 60 days if expedited).
5) I understand that program cancellations, changes to block out dates, requests to place program on hold, and/or refusal of visit dates are subject to additional fees.
Please print your full name to agree to the above NECPA Process Understandings*
Payment Details
Fees are non-refundable and subject to change without prior notice.
Total Amount (Will update automatically.)
$0.00
Please note, the correct payment will appear in this section after the license capacity has been added. Please ensure the program's license capacity in the form is the same as the capacity noted on your state license. If there is a difference in the required fee due and the fee paid, an invoice will be sent for remittance. Only applications PAID IN FULL are able to be fulfilled.
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Email
This field is for validation purposes and should be left unchanged.

Change in Ownership Fees

Additional Products (Optional)

NECPA Process Understandings and Agreements

Payment Details