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Car seat installation assistance

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Fill out the below form to make an appointment with Fire Prevention Division staff who will help make sure you car's child passenger safety seat or car seat  is installed correctly.

You will be contacted within two business days of receiving your request to schedule a specific time for your appointment.  

Bring the following to your appointment

  • Your vehicle's owner's manual
  • The child passenger safety seat(s), car seat(s), carrier(s), and/or base(s) to be installed

General advice about car seats

  • We recommend that you be the original owner of the safety seat, car seat or carrier (this way you know the history of the seat).
  • Safety seats, car seats and carriers should be replaced if they are more than seven years old, or as soon as the manufacturer's replacement schedule says to replace them. 
  • The safety seat, car seat or carrier should not be used if it was in a vehicle that was involved in a crash—even if no child was in the car seat or carrier.
  • Please send in the registration form for the safety seat, car seat or carrier.
  • After-market items such as shoulder pads, seat protectors, car seat mirrors should not be used.

 

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Car seat installation assistance

Please provide the following details
Is this for an infant or for a child?
Please fill out one of the following
Please indicate the manufacturer and model of the car seat to be installed.
Contact information
Name
Acceptance of waiver

I understand that the sole purpose of this program is to reduce the incidence of improper installation and use of child safety seats; that this inspection is provided free of charge in the interest of public safety; that this program cannot fully evaluate the quality, safety or condition of the child safety seat, any component of my vehicle including the seats, safety belts and airbag systems; this program cannot guarantee my child’s safety in a crash. I understand that to have full protective benefit of the child safety seat the infant and/or child must at all times be properly secured to the child safety seat and the child safety seat must at all times be properly secured to the vehicle in accordance with the vehicle and child safety seat manufacturer’s instructions. I hereby release any program participants from any present or future liability for any injuries including death or dangers that may result from a vehicle collision or otherwise. 

I understand that on occasion a great deal of force must be used to properly secure the child safety seat into the vehicle. I release all agencies and personnel involved from liability and responsibility for any and all damage(s) caused to my vehicle and/or contents therein while installing the child safety seats.

By clicking the 'agree' option and entering my name in the electronic signature field below, I acknowledge having read, understood, and agreed to the above waiver, release, and hold harmless agreement.

Agree / Disagree

Please take notice that any data received by the City as the result of submitting this form will be classified as government data pursuant to the Minnesota Government Data Practices Act, Minnesota Statutes Chapter 13. Under the Data Practices Act, some or all of this data is classified as public data, including your name, address, email address, phone number, and other personal information provided by you. Public data is available to anyone requesting it and consists of all data furnished via this Web form. Please be advised that the correspondence will be added to the public record. The purpose and intended use of the information collected through this form is to obtain public input and data in support of City activities and services. You have the right to refuse to submit this form. If you choose not to submit this form, you will need to contact the City by another means if you wish to provide the information collected by the form.

The City of Bloomington does not discriminate against or deny the benefits of its services, programs, or activities to a qualified person because of a disability. To make a request for a reasonable accommodation, ask for more information, or to file a complaint, contact the Community Outreach and Engagement Division, City of Bloomington, 1800 West Old Shakopee Road, Bloomington, MN 55431- 3027; 952-563-8733, MN Relay 711.

Contact Information

Contact Information

Fire Prevention Division