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Highway Safety Forms |  |
Grants application information.
HELP with downloading and using the GTSC Word forms, what to do if you do not have Word.
| Grant Reporting — 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 pages / 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:
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 page / 46k) |
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| Child Safety Seat Distribution Program Annual/Semi-Annual Progress Report - Schedule D |
Use eGrants | |
| STOP-DWI Forms |
| New York State STOP-DWI Vehicle and Traffic Law and Commissioner Regulations that establish the STOP-DWI program operating guidelines | pdf document (7 pages / 34k) |
| MS Word® | |
| 2013 County STOP-DWI Plans Use both this Word form template and the instruction document below to prepare your 2013 plan. |
STOP-DWI Plan 2013 (20 pages / 319k) |
| Instructions for the 2013 STOP-DWI Plan in MS Word® | Instructions (2 page / 73k) |
| STOP-DWI Fiscal Report Forms Use these forms to submit your fiscal quarterly and final fiscal reports. Enter the year of the report, the financial information and sign where indicated. |
1st Quarter STOP-DWI Report (1 page / 35k) 2nd Quarter STOP-DWI Report (1 page / 36k) 3rd Quarter STOP-DWI Report (1 page / 36k) 4th Quarter and Year End STOP-DWI Report (2 pages / 56k) |
| Fiscal / Accounting and Time Keeping — 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) |
| Personal Activity Report Time Record in Excel |
Time keeping form for full time employees who are partially funded by a GTSC grant, to account for grant-funded activities vs. non-grant funded. | time-record.xls (1 page / 25K) |
