Child Safety Seat Inspection Appointment Request
Thank you for your interest in child passenger safety. Please complete the form below. Appointments with a certified Child Passenger Safety Technician will be scheduled on a first come, first serve basis. Please be patient. It may take up to a week for your appointment to be scheduled.

We encourage you to have all of your children's safety seats inspected regularly by a Certified Child Passenger Safety Seat Technician.

Name (First, Last Name) *
Your answer
Home Address (Street, City, State, Zip) *
Your answer
Phone Number *
Your answer
Parent's Email Address
Your answer
What is the best time to contact you? *
Preferred Contact Method *
Please give a short description of what you wish to accomplish with your appointment. *
Your answer
How many children do you normally transport? *
Your answer
Do you currently have child safety seats for your children? *
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