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Welcome to the City of Maricopa, AZ, Action Line
Today is Saturday, May 31, 2025.
DATES, TIMES AND EVENTS ARE SUBJECT TO INTERUPTIONS OR NO SHOWS DUE TO EMERGENCY TRAFFIC, TRAINING OR RELATED ACTIVIITES. ALL EVENTS MUST BE SCHEDULED A MINIMUM OF 7 DAYS IN ADVANCE.
CAR SEAT INSPECTION REQUEST

Purpose. Maricopa Fire/Medical's Nationally Certified Car Seat Technicians assist and educate residents on the proper installation of child passenger safety seats. This form is used to request a Car Seat Inspection Appointment. Our program offers car seat exchanges not free car seats.

* Information is required.

Contact Information

* First Name:
* Last Name:
* Email:
* Daytime Phone: ()  –
Address:
* City:
* State:
* ZIP:

* We ask that you clean your car seats thoroughly prior to arriving for your scheduled appointment. Our technicians cannot do their job as effectively in a messy environment, and your installation cannot begin until the seats are clean.

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* PLEASE reschedule your appointment if you or your child have any of the following symptoms: -Fever or chills -Cough or sore throat -Shortness of breath/difficulty breathing -Fatigue or muscle/body aches -Headache -New loss of taste/smell -Congestion/runny nose -Nausea/vomiting/diarrhea

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* Car Seat Make and Model
 
* Do you have the car seat manual?
 
* Age of child
 
* How much does the child weight?
 
* Vehicle Year, Make and Model
 
* Do you have the vehicle manual?
 
* What day of the week works best for you?

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* What time of day works best for you? (Appointments can take anywhere from 30-60 minutes)





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* A separate submission form is required for each car seat.

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CAPTCHA

Check here to have email confirmation of this submission.

* Information is required.

Notes:

If you send us a message, you will receive a Tracking Number allowing you to follow-up with your request, at your convenience.

Internal Use Only, Leave Blank:
Please leave this field blank and remove any values that have been populated for it.

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