Car Seat Inspection Station Information

Car Seat Inspection Station Information
Thank you for taking the time to fill out this form to register your inspection station. This information will be listed on the CarSeatsColorado.com website and also on the NHTSA website. It is your responsibility to keep us updated of any changes to your inspection station information that may occur.
Car Seats Colorado requires that all car seat inspections be conducted by a nationally certified Child Passenger Safety Technician. Expired Technicians are not allowed to conduct the car seat inspections.
Date:*

MonthDayYear
Inspection Station Coordinator: *

First NameLast Name
Phone Number:*

Area CodePhone Number
Alternative Phone Number

Area CodePhone Number
Email*
example@example.com
Inspection Station Location:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Inspection Station Availability (Check all that apply):*

By AppointmentDrop InVirtual InspectionScheduled EventOther
Specify Scheduled Event Day

MonthDayYear
Specify Scheduled Event Hours

:HourMinutesAM/PM Option
Until
until :HourMinutesAM/PM Option
Languages that can be accommodated (Check all that apply):*

EnglishSpanishOther
Are you using the National Digital Check Form (NDCF)?*

YesNo
Specify reason for not using the Digital Check Form
***If you are not using the NDCF, you must manually submit your monthly/quarterly data to Car Seats Colorado.

***For more information on the NDCF, or to create an account, visit carseatcheckform.org
Other information you feel is pertinent:
Should be Empty: