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Schedule a Child Safety Seat Installation Request Form

The Elburn and Countryside Fire Protection District offers the services of nationally certified child safety seat technician(s) to ECFPD District residents only on an appointment only basis. (Walk-in appointments cannot be accommodated.)

Please submit your request at least 14-21 days before the car seat installation is needed. Requests will be considered based on availability of car seat technicians. You will be notified within 7 days of your request as to if the fire department will be able to accommodate the installation request.

If you would like to have a certified technician install your child safety seat, please fill out the request form below.

If you'd like to make a child safety seat installation request in person, please do so at the ECFPD Station #1, Administrative Office, 200 E. Route 38, Elburn, IL or by calling 630-365-6855.  

Expectations for Installation:    
Please expect the installation to take at least 1/2 hour to 1 hour for proper installation (depending on type of car seat and vehicle), check, and to review installation with the owner per child safety seat. The installation requires the owner (of the vehicle) to be present while installation takes place. To help make sure your installation goes smoothly, please bring your vehicle’s owner’s manual (if available) and your child seat’s owner’s manual (if available). 

What to expect during your appointment:    

  • Instruction and demonstration on how to correctly install your car seat.
  • Ensure you are using the correct seat based on child’s age, weight and height.
  • Explain the process for you to check and see the car if your seat has been recalled.
  • You will be required to sign a waiver for the car seat installation.

Required   Indicates Required Field
Date/Time Stamp: Required 05/17/2024 0717
Name:
First & Last Name
Required
Address:
Address
Required
City, State & Zip Code:
City, State & Zip Code
Required
Phone #:
Phone #
Required
Cellular #:
Cellular #
Required
E-mail Address:
E-mail Address
Required
Date & Time Availability:
Please provide your hours of availability to schedule a car seat installation & your preference for the day of the week. If you have a specific date in mind, please note.
Required
Number of Car Seats to be installed:
Please specify the number of car seats to be installed
Required
Vehicle Make:
Please specify the make of the vehicle that the car seat will be installed in. (Example: Chevrolet, Ford, Toyota, etc...)
Required
Vehicle Model:
Please specify the model of the vehicle that the car seat will be installed in. (Example: Suburban, F-150 Pick-up, Corolla, etc...)
Required
Vehicle Year:
Please specify the year of the vehicle that the car seat will be installed in.
Required
Car Seat Make:
Please specify the make of car seat to be installed. (Example: Graco, Britax, Chicco, etc...)
Required
Car Seat Model:
Please specify the make of car seat to be installed. (Example: SlimFit3 LX, Marathon, NextFit Max ClearTex, etc...)
Required
Car Seat Manufacturer Date:
Please specify the date the car seat was manufactured.
Required
National Child Passenger Safety Check Form: Required I understand and agree that:
Waiver (1):
The purpose of this program is to help reduce improper use of care seats, booster seats, and seat belts and that this inspection is provided as free service to me.
Required The purpose of this program is to help reduce improper use of care seats, booster seats, and seat belts and that this inspection is provided as free service to me.
Waiver (2):
This program cannot fully evaluate the quality, safety, or condition of my child restraint or any component of my vehicle, including seats, seat belt, or LATCH.
Required This program cannot fully evaluate the quality, safety, or condition of my child restraint or any component of my vehicle, including seats, seat belt, or LATCH.
Waiver (3):
This program cannot guarantee my child's safety in a crash and it is important to read both the vehicle and child restraint instruction manuals.
Required This program cannot guarantee my child's safety in a crash and it is important to read both the vehicle and child restraint instruction manuals.
Waiver (4):
For these reasons, I release all program sponsors, volunteers, and instructors from any present or future liability for any injuries or dangers that may result from a vehicle collision or otherwise.
Required For these reasons, I release all program sponsors, volunteers, and instructors from any present or future liability for any injuries or dangers that may result from a vehicle collision or otherwise.

We are committed to keeping children safe. Please visit the National CPS Certification for more information regarding locations of certified technicians, program affiliations, and information regarding certification.

The Elburn and Countryside Fire Protection District has a limited number of

nationally certified child safety seat technician(s) making it difficult at times to accommodate all requests. 

The Elburn Police Department also offers the services of nationally certified child safety seat installers on an appointment only basis. If you need a car seat installed and we cannot accommodate your request, please contact the Elburn Police Department at 630-365-5070 to schedule an appointment.





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Elburn & Countryside Fire Protection District
200 E. IL Route 38
Elburn, IL 60119
Emergency Dial 911
Non-Emergency: 630-365-6855
Station Fax: 630-448-1254
E-mail: info@elburnfire.gov
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