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The document is an application for the Saved by the Belt program, which allows law enforcement agencies to nominate motorists who were saved by seat belt usage during a crash. It includes guidelines
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How to fill out Saved by the Belt Nomination Form
01
Start by downloading the Saved by the Belt Nomination Form from the official website.
02
Read the instructions carefully provided on the first page of the form.
03
Fill in the nominee's personal information, including name, address, and contact details.
04
Provide a description of the incident that led to the nomination, including date, time, and location.
05
Include details about how the nominee demonstrated the importance of seatbelt use.
06
If applicable, gather and attach supporting documents or testimony to strengthen the nomination.
07
Review the completed form for any errors or missing information.
08
Sign and date the form where indicated.
09
Submit the form as instructed, either by mail, email, or online submission.
Who needs Saved by the Belt Nomination Form?
01
Individuals who have saved lives by using seatbelts.
02
Family members or friends of those who have been involved in a seatbelt-related incident.
03
Organizations promoting road safety and seatbelt usage.
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What is Saved by the Belt Nomination Form?
The Saved by the Belt Nomination Form is a submission used to recognize and reward individuals who have used their seat belts and exemplified safe driving practices.
Who is required to file Saved by the Belt Nomination Form?
Individuals or organizations that witness or are aware of an event where someone's life was saved due to the use of a seat belt are encouraged to file the Saved by the Belt Nomination Form.
How to fill out Saved by the Belt Nomination Form?
To fill out the Saved by the Belt Nomination Form, provide the required personal information, details of the incident, and witness statements if applicable, and submit the form to the appropriate authority.
What is the purpose of Saved by the Belt Nomination Form?
The purpose of the Saved by the Belt Nomination Form is to promote seat belt usage and recognize individuals who have prevented injuries or fatalities through proper seat belt use.
What information must be reported on Saved by the Belt Nomination Form?
The information required on the Saved by the Belt Nomination Form includes the nominee’s personal details, description of the event leading to the nomination, the impact of seat belt use, and any additional comments or testimonies.
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