Marquette County Car Seat Program

Marquette County Car Seat Program

To qualify for our "No Cost" Car seat program, you or your child must be enrolled in at least one state or federal program. If you are unsure if you qualify please contact Lacy Anderson at 906.458.5678
Before we get started here are some local public service locations you can call to set up an appointment. If you would like to schedule a private appointment please continue on with this form.

Marquette City Fire (906) 228-0412, MI State Police (Negaunee) (906) 285-2750
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

City

Zip Code
Do you have an eligibility voucher?
Child's Information

You'll need your child's current height and weight, this is required for us to provide you with the appropriate seat.
Estimated Due Date (If applicable)

MonthDayYear
Please note you must be at least 28 weeks to receive a seat.
Child's Name
Child's Current Weight
If unborn, please put 0
Child's Current Height
If unborn, please put 0
Would you like to add additional children?
Please provide information for each additional child. Including name, current height, and current weight.
Should be Empty:

Before we get started here are some local public service locations you can call to set up an appointment. If you would like to schedule a private appointment please continue on with this form.