Child Passenger Safety Seat Check/Installation Log 

  

This page is only to be used to report seat checks and installations by nationally certified child passenger safety technicians to GHSP regional coordinators. Please use this log each time you check or install a child passenger safety seat. This page does not update your profile on the Safe Kids webpage for recertification.

Name of Technician *
County *

List of Counties by Regions
Region/Coordinator

Enter the number next to the seat type below to show the total seats checked and/or installed.


Infant - Rear Facing Seat

Convertible - Rear Facing Seat

Convertible - Forward Facing

Combination - Forward Facing

Booster
Email Address
Date Completed
Region 1
Boone, Clay, Kanawaha, Logan
Region 2

Cabell, Lincoln, Mason, Mingo, Putnam, Wayne
Region 3

Calhoun, Doddridge, Gilmer, Jackson, Pleasants, Ritchie, Roane, Wirt, Wood
Region 4
Brooke, Hancock, Marshall, Ohio, Tyler, Wetzel
Region 5
Barbour, Harrison, Lewis, Marion, Monongalia, Preston, Taylor, Upshur
Region 6

Berkeley, Grant, Hampshire, Hardy, Jefferson, Mineral, Morgan, Pendleton, Tucker, Randolph
Region 7
Braxton, Fayette, Greenbrier, Nicholas, Pocahontas, Raleigh, Webster
Region 8
McDowell, Mercer, Monroe, Summers, Wyoming
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