2. 

   Car Seat Installation

   The Dracut Police Department is simplifying car seat installations.

   Please fill out the following information to get scheduled with one of our officers to get assistant in make sure your car seat is properly installed.

4. First Name*
5. Last Name*
7. Address
9. City
10. State
11. Zip Code
13. Phone Number*
14. Email Address*
16. Vehicle Make*
17. Model*
18. Year*
20. Will the child, or children, be present for the installation?*

    To ensure best fitting of your car seat, it is recommended you bring your child to the installation. 

    1. Yes
    2. No
    3. Unborn

22. Please fill out the above information accurately. Someone from the Dracut Police Department will contact you to schedule your appointment and provide further instructions. 

    Thank you for prioritizing your child's safety.

Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field