Child Safety Seat Checks

2. Overview

4. Road injuries are the leading cause of preventable deaths and injuries to children in the United States.

   Correctly used child safety seats can reduce the risk of death by as much as 71%.

   More than half of car seats are not used or installed correctly.

   For more information on car seat tips, visit SafeKids.Org. View Maine Law regarding passenger safety seat belts and child restraint systems.

   Fill out this form and you will be contacted to set up an appointment to inspect have your car seat installed or inspected.

6. Requested Information

8. Phone Number*
10. Child's Age*

    1. Unborn
    2. Under 1 Years Old
    3. 1 to 2 Years Old
    4. 2 to 3 Years Old
    5. 3 to 8 Years Old
    6. 8 Years or Older
12. Child's Height
14. Child's Weight
16. Car Seat Manufacturer
18. Car Seat Model
Leave This Blank:


20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

* indicates a required field