SafeNY.com   Highway Safety Forms

Announcements about Grants for Federal Fiscal Year 2010 will be available in the future.

Frequently Asked Questions about applying for a GTSC grant.

HELP with downloading and using the GTSC grant application Word forms, what to do if you do not have Word.

If you need a grant application form for Federal Fiscal Year 2009, please contact the GTSC.


 

Progress Report — Forms & Instructions:
Form# Title of Form MS Word®
HS-9 Progress Report - Use for both mid-year and final report.  Use for Buckle Up New York Mid-Year Report and for all other projects except 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
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®
2009 County STOP-DWI Plans
Use this Word form template to prepare your 2009 plan.
STOP-DWI Plan 2009
(14 pages / 492k)
STOP-DWI Fiscal Report Forms for 2008
STOP-DWI 2008 Quarterly Report Forms
(4 page / 92k)
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®
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)