SafeNY.com   Highway Safety Forms

 

Progress Report — Forms & Instructions:
Type of Grant Type of
report link:
Highway Safety (HS) Grant Reports
Progress Report - Use eGrants to file your semi-annual and annual progress reports for all highway safety (HS) grants beginning with 2010 grants.
Use eGrants
STEP Grant Reports
Progress Report - Use eGrants to file your semi-annual and annual progress reports for all STEP grants beginning with 2010 grants.
Use eGrants
Buckle Up New York, Click it or Ticket
Buckle Up New York Observation Seatbelt Compliance Survey
Use this form to create a tally sheet for conducting a seat belt use survey. Report the results of your survey(s) as an email attachment to: grants@safeny.com grants@safeny.com.
bunysurvey
Word form
(2 page / 74K)
Buckle Up New York Wave Report
Use this form if you do not have a BUNY Grant.
BUNY Wave Report - no grant
Child Passenger Safety Report Forms
Fitting Station Annual/Semi-Annual Progress Report - Schedule A Use eGrants
Child Passenger Safety Awareness Training Report - Schedule B
Complete report after EACH training you hold.
On the report you must check the appropriate box for which type of awareness class was given:
  1. Community Awareness
  2. Agency Awareness
  3. Technical Update Class
  4. Special Needs Training
  5. School Bus Training
  6. Other - (Renewal Classes are entered here.)
PLEASE UPDATE THE CLASS ROSTER ON THIS REPORT (when appropriate)
Do not fax or e-mail in the roster
Use eGrants
Child Passenger Seat Check Progress Report - Schedule C
Complete report after EACH seat check event.
The host of the event MUST list any other agencies that participated in this event (in the box that allows comments, at the end of the report) so participants get credit.
Use eGrants
Notification of Upcoming Child Passenger Seat Check Events
Complete this form and email it the CPS Coordinator BEFORE your check event.
cps-eventsForm.doc
Word form
(1 pages / 46k)
Child Safety Seat Distribution Program Annual/Semi-Annual Progress Report
- Schedule D
Use eGrants

 

STOP-DWI Forms
MS Word®
2010 County STOP-DWI Plans
Use this Word form template to prepare your 2010 plan.
STOP-DWI Plan 2010
(14 pages / 280k)
STOP-DWI Fiscal Report Forms
Use these forms to submit your fiscal midyear and final fiscal reports in the new format
STOP-DWI Fiscal Report Mid Year
(1 page / 62k)

STOP-DWI Fiscal Report Year End
(1 page / 58k)
Instructions on using the new STOP-DWI forms Instructions
(1 page / 50k)
DWI Enforcement and Public Information Campaign Report Form CrackdownDWIReport.doc
(1 page / 49k)

 

Fiscal Reports — Forms & Instructions:
Form# Title of Form MS Word®
Use eGrants to submit payment request for reimbursement. You may continue to use the PS-1 or PS-1NE to track your personal services hours.
PS-1 Itemized Listing of Personal Services for Enforcement ps-1.doc
(1 page / 37K)
PS-1NE Itemized Listing of Personal Services for Non-Enforcement ps-1ne.doc
(1 page / 77K)