Alexandria Police Department
Child Safety Seat Inspection Request

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* First Name:

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* Last Name:

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* Email:

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* Phone No.:

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* Type of Car Seat

New

Used

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* If Used, Indicate Expiration Date/Date of Manufacture:

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* Make and Model of the Car Seat:

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* Select a Date and Time for Your Inspection:

Please contact me to set up a date and time.