Alexandria Police Department
Child Safety Seat Inspection Request
*
First Name:
(Required.)
*
Last Name:
(Required.)
*
Email:
(Required.)
*
Phone No.:
(Required.)
*
Type of Car Seat
(Required.)
New
Used
If Used, Indicate Expiration Date/Date of Manufacture:
Make and Model of the Car Seat:
Select a Date and Time for Your Inspection:
Please contact me to set up a date and time.