Quarterly Inspection Station Reporting Form
The Quarterly Inspection Station Report provides insight into how well our statewide efforts for child passenger safety are progressing and helps monitor the level of Car Seats Colorado support for individual and statewide inspection stations.This report is to be completed by each Inspection Station Coordinator at the end of every quarter, and no later than 10 calendar days after each quarter.
1. Inspection Location:
2. Inspection Station Coordinator
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
3. Email:
4. Reported Submitted by: Name (If different than above)
5. How is your Inspection Station conducted?
In-person Appointment
Virtual Appointment
6. Is your inspection station staffed by all certified CPS Technicians or do you use a combination of Certified Technicians and Trained Advocates?
7. How are you educating people about CRS use in their future?
8. List methods of advertising your Inspection Station.
Flyers
Radio
Television
Social Media
Other
9. List types of outreach education provided to your community.
10. Are you seeking funding for your Fit Station other than the Colorado CPS Program? If yes, please explain. If not, please explain why not.
11. Have you tried to partner with any other organizations for funding? If yes, please list the organizations and if they have agreed or declined.
12. Have you tried to partner with any other organizations for education? If yes, please list the organizations and if they have agreed or declined.
13. Have you tried to partner with any other organizations for outreach? If yes, please list the organizations and if they have agreed or declined.
14. What can be done to maintain the operation of your Inspection Station?
15. What can be done to improve the operation of your Inspection Station?
16. List any unforeseen problems you have encountered this quarter and how you solved them or how/where you are seeking possible solutions.
17. How can Car Seats Colorado assist you with maintaining the operation of your Inspection Station?
18. How can Car Seats Colorado assist you with improving the operation of your Inspection Station?
Submit
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