Car Seat Safety Form
Name
*
First Name
Last Name
Seller Id Number
*
Car Seat Item Number
*
Chose Expiration or Manufacturer Date
*
Please Select
Date of Manufacturer
Date of Expiration
Date of Manufacturer or Date of Expiration
*
-
Month
-
Day
Year
Date
Attestion:
*
I confirm that this car seat has never been in an accident of any kind.
Consignor's Signature
*
Date Signed:
*
-
Month
-
Day
Year
Date
Continue
Continue
Should be Empty: