SafeNY.com   Highway Safety Forms

Grant Application — Forms & Instructions:
Title of Form MS Word®
Grant Package Cover Sheet Form and
Instructions for Preparing a Highway Safety Grant Package Cover Sheet
coversheet.doc
(4 pages / 904K)
GTSC Logo Grant Application Form and Guide to Preparing a Highway Safety Program Application for Local Agencies local.doc
(14 pages / 730K)
GTSC Logo Grant Application Form and Guide to Preparing a Highway Safety Program Application for State Agencies and Not-For-Profit Organizations state-nfp.doc
(15 pages / 555K)
Child Passenger Safety Child Passenger Safety Program Grant - Instructions and Grant Application Form cps.doc
(16 pages / 1461K)
  Additional Schedule A - Use to Apply for Multiple Fitting Stations Additional-Schedule-A.doc
(2 pages / 59k)
Buckle Up New York BUNY Buckle Up New York Seat Belt Enforcement Instructions and Application buny.doc
(10 pages / 1163K)
STEP STEP Selective Traffic Enforcement Instructions and Application step.doc
(12 pages / 949K)
Frequently Asked Questions about applying for a GTSC grant.

 

Progress Report — Forms & Instructions:
Form# Title of Form MS Word®
HS-9 Progress Report - Use for both mid-year and final report.  For all projects except Buckle Up New York, STEP and Child Passenger Safety hs-9.doc
(1 page / 32K)
STEP-HS-9 Progress Report - Use for both mid-year and final report.  For all STEP projects STEP-hs9-1.doc
(1 page / 45K)
Buckle Up New York, Click it or Ticket
HS-9C Buckle Up New York On-line Reporting Form
Buckle Up New York Observation Seatbelt Compliance Survey bunysurvey
(2 page / 74K)
Child Passenger Safety Report Forms
Fitting Station Annual/Semi-Annual Progress Report - Schedule A cps-fitting-report.doc
(1 pages / 96k)
Child Passenger Safety Awareness Training Report - Schedule B cps-awareness-report.doc
(1 pages / 139k)
Child Passenger Seat Check Progress Report - Schedule C1 cps-check.doc
(1 pages / 51k)
Notification of Upcoming Child Passenger Seat Check Events - Schedule C2 cps-FaxBak.doc
(1 pages / 43k)
Child Safety Seat Distribution Program Annual/Semi-Annual Progress Report
- Schedule D
cps-anseat.doc
(1 pages / 53k)

 

STOP-DWI Forms
MS Word®
2008 County STOP-DWI Plans STOP-DWI 2008
(14 pages / 189k)
STOP-DWI Quarterly Fiscal Report Forms - Year Not Specified
Use these forms to submit your fiscal reports.  Please be sure to fill in the year.
STOP-DWI Fiscal
(4 pages / 98k)
DWI Enforcement and Public Information Campaign Report Form DWIReport.doc
(1 page / 57k)

 

Fiscal Reports — Forms & Instructions:
Form# Title of Form MS Word®
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)
HS-25 State Agencies Claim for Highway Safety Grants claimform.doc
(3 pages / 212K)
HS-35 Highway Safety Grant Modification Form and Instructions grantmod.doc
(2 pages / 53k)
VC-1 Voucher Checklist -
Information for preparing and submitting vouchers to the GTSC for reimbursement of costs in approved grants.
voucherchecklist.doc
(5 pages / 77k)
AC-92 State Standard Voucher Form (AC92)
This form has been modified to allow larger descriptions.  Please be sure that the entire voucher fits on one page, and use additional forms as necessary.
AC92.doc
(2 pages / 83k)