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Highway Safety Administration Forms


All of the following forms are to be sent to:

  • Department of Transportation Safety
    Division of Highway Safety Administration
    Grants Management Branch
    200 Mero St., 4th Floor
    Frankfort, Kentucky 40622

  • To download any of the following forms, click on the "Click here to download" link with the right mouse button. Then select "Save Target As.." to download the file.

2008 Grant Application Form

  • Click here to download
  • used for applying for NHTSA grant funding for the upcoming fiscal year (October 1,2008 through September 30, 2009)
  • Format: Microsoft Word Document form

2008 Mobilization Campaign Participation Form

  • Click here to download
  • used for indicating participation in May and August mobilizations
  • Format: Microsoft Word Document

Final Reporting Form - Law Enforcement Projects

Final Reporting Form - Non-Law Enforcement Projects

Activity Reporting Form

  • Click here to download
  • used for reporting activity including enforcment hours worked, violations, etc.
  • Format: Microsoft Word Document

Milestone Reporting Form

Agency Overtime Worksheet

  • Click here to download
  • used for calculating reimbursement for agency for worked overtime
  • Format: Microsoft Excel Spreadsheet

Officers Overtime Detail Log

  • Click here to download
  • detailed log for officers to use when working overtime, with places for indicating citations
  • Format: Microsoft Word Document

Reimbursement Claim Form

Out-of-State / Overnight Travel Request Form

Non-expendable Property Form

  • Click here to download
  • used for reporting non-expendable equipment purchases
  • Format: Microsoft Word Document

Monitoring Visit Preparation Checklist

Seat Belt Survey Form and Instructions

CONTACT TRANSPORTATION SAFETY

Department of Transportation Safety
200 Mero St.
Frankfort, KY 40622
502-564-1438
888-374-8768
(TRANSPORTATION SAFETY CALLS ONLY)


Commonly Requested Numbers:

Drivers Licensing
502-564-6800
Titling and Registration
502-564-5301
Motor Carriers
502-564-4540

Click here for Transportation Phone Listing



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DEPARTMENT OF TRANSPORTATION SAFETY