Show/Hide
Help us expedite recovery efforts, follow these FEMA guidelines to properly sort hurricane debris. 

FortLauderdale.gov

Car Seat Installation Request

Print
Please correct the field(s) marked in red below:

Child Car Seats are installed by appointment only.  Appointments are available during morning hours.  Afternoon appointments are not available.  Please fill out the form below and our Car Seat Liason will call/email you to schedule an appointment.  Allow 72 hours to schedule the installation.
1
Last Name
2
 First Name
3

Phone Number

4
Email
5
Date you are requesting for Car Seat to be installed.  
6
Please provide alternative dates for installation in case the initial request date is not unavailable.
Please provide alternative dates for installation in case the initial request date is not unavailable.
7
Baby due date.  If not applicable please note in the second field N/A.
Baby due date. If not applicable please note in the second field N/A.
8
Car Seat Make
 *
9
Car Seat Model
 *
10
How many seats do you need to be installed
11
Child's Age
12
Child's weight
13
Comments
  1. To receive a copy of your submission, please fill out your email address below and submit.