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BRISTOL POLICE DEPARTMENT - REQUEST FOR CHILD SEAT INSPECTION

2. AVAILABLE TO BRISTOL RESIDENTS ONLY:
   This service is free and only provided to City of Bristol residents. Officers are available for inspections on Wednesday evening or Friday morning. The officer will inspect your car seat to make sure you have installed it properly. Officers do not install car seats. To make an appointment, fill-in the information below and electronically submit the form to the police department.
4. First Name*
5. Last Name*
7. Bristol Street Address ONLY:*
8. Phone:*
10. APPOINTMENT TIMES:*

    Pick one:

    1. Friday: 10:00 AM to 12:00 PM
    2. Wednesday: 5:00 PM to 7:00 PM
11. Email:*
13. I UNDERSTAND THE FOLLOWING:
    (1). A officer will make contact and confirm the appointment date & time. (2). The car seat must be installed before the appointment. (3). The officer will inspect the car seat for proper installation and reinstall, if necessary. (4). Bring the required components of the car seat (5). Bring installation manuals for the car seat & vehicle. (6). To verify Bristol residency, show a operator's license or vehicle registration. (7). The vehicle interior to be clean and free from clutter.
15. I have read and fully understand the information listed above. *

    Check one.

    1. Yes
    2. No
17. Date Submitted:*
    Date Submitted:
Leave This Blank:


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

    This field is not part of the form submission.

21. Submit

* indicates a required field