Harvard Lactation Room Registration Form Location 114 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name in the designated field. This is essential for identification purposes.
  3. Next, input your Harvard ID number. This helps verify your affiliation with the university.
  4. Fill in your University School/Department to indicate where you are based within Harvard.
  5. Provide your University Street Address to ensure accurate communication and registration.
  6. Enter your Work/Cell Phone number for any necessary follow-up regarding your registration.
  7. Input your Email Address, which will be used for correspondence related to the lactation room.
  8. Complete the Date of Registration field with the current date or when you are submitting this form.
  9. Lastly, indicate an approximate Start date for room use. This can be an estimated date if unsure.

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Exemplary lactation accommodations should include a few basic items such as a comfortable chair, a table to hold pumping equipment, a refrigeration unit for storage of expressed milk, and a privacy curtain if multiple users share the same space.
Assure that the room is temperature-controlled, warm and comfortable. Identify the room with a lacation space sign. Create a locked or secure area, and provide a privacy please sign. Post a usage schedule or calendar in the room, or create a Google or Outlook calendar, so those in your area can schedule their time.
Mothers Room - This is the most common term for workplace lactation spaces in both the corporate and public settings, although we recommend using Lactation Room as a more inclusive label. Parents Room - This is another term that is more inclusive and gender neutral.

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The lactation room or location must be safe, clean, and free from hazardous materials, as defined in Labor Code section 6382, contain a surface to place a pump and personal items, contain a place to sit and have access to electricity or alternative devices, including but not limited to, extension cords or
The minimum requirements are: Door that locks. Electrical outlet for plugging in a pump. Good lighting and ventilation. Comfortable chair. Countertop or table for breastpump and supplies. Occupied sign for the door. Wastebasket, chemical cleaner for surfaces, chemical cleaner for hands, routine daily maintenance.

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