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Submitted URL: http://www.safercar.gov/
Effective URL: https://www.nhtsa.gov/campaign/safercargov?redirect-safercar-sitewide
Submission: On November 13 via manual from US — Scanned from DE
Effective URL: https://www.nhtsa.gov/campaign/safercargov?redirect-safercar-sitewide
Submission: On November 13 via manual from US — Scanned from DE
Form analysis
2 forms found in the DOM/search
<form action="/search" id="site-search-modal-form" class="form-inline"><span class="icon-Search"></span>
<div class="input-group"><input id="site-search-input" autocomplete="nope" type="search" placeholder="Search" name="keywords" class="form-control"></div>
</form>
<form class="request-research-form">
<div class="row">
<div class="col-sm-12">
<h3 class="first">Contact Information</h3>
<p>All fields are required unless indicated</p>
</div>
</div>
<div class="row">
<div class="col-sm-6">
<div class="form-group"><label for="firstName" class="control-label">First Name <span>(Required)</span></label> <input id="firstName" type="text" required="required" class="form-control"></div>
</div>
<div class="col-sm-6">
<div class="form-group"><label for="lastName" class="control-label">Last Name <span>(Required)</span></label> <input id="lastName" type="text" required="required" class="form-control"></div>
</div>
<div class="col-sm-12">
<div class="form-group"><label for="companyName" class="control-label">Company Name <span>(Required)</span></label> <input id="companyName" type="text" required="required" class="form-control"></div>
</div>
<div class="col-sm-12">
<h3>Shipping Information</h3>
<p>All fields are required unless indicated</p>
</div>
<div class="col-sm-12">
<div class="form-group"><label for="address" class="control-label">Address <span>(Required)</span></label> <input id="address" type="text" required="required" class="form-control"></div>
</div>
<div class="col-sm-12">
<div class="form-group"><label for="addressLine2" class="control-label">Address Line 2 (Optional)</label> <input id="addressLine2" type="text" class="form-control"></div>
</div>
<div class="col-sm-12">
<div class="form-group"><label for="city" class="control-label">City <span>(Required)</span></label> <input id="city" type="text" required="required" class="form-control"></div>
</div>
<div class="col-sm-6">
<div class="form-group"><label for="state" class="control-label">State <span>(Required)</span></label> <input id="state" type="text" required="required" class="form-control"></div>
</div>
<div class="col-sm-6">
<div class="form-group"><label for="zipCode" class="control-label">ZIP Code <span>(Required)</span></label> <input id="zipCode" type="text" required="required" class="form-control"></div>
</div>
<div class="col-sm-12">
<div class="form-group"><label for="phone" class="control-label">Phone <span>(Required)</span></label> <input id="phone" type="text" required="required" class="form-control"></div>
</div>
<div class="col-sm-12">
<div class="form-group"><label for="emailAddress" class="control-label">Email Address <span>(Required)</span></label> <input id="emailAddress" type="email" required="required" class="form-control"></div>
</div>
<div class="col-sm-12">
<div class="form-group form-footer"><a role="button" data-dismiss="modal" class="btn btn-transparent btn-no-border">cancel</a> <button type="submit" class="btn btn-transparent btn-huge"> complete request </button></div>
</div>
</div>
</form>
Text Content
Skip to main content United States Department of Transportation Report a Safety Problem Toggle navigation Homepage * Ratings * Recalls * Risky Driving * Road Safety * Equipment * Technology & Innovation * More Info * Briefing Room * Parents & Caregivers * Importing a Vehicle * * Data * Research * Laws & Regulations * * Vehicle Manufacturers * State Governments * Enforcement & Justice SAFERCAR.GOV IS NOW NHTSA.GOV SOME LINKS YOU MIGHT BE LOOKING FOR: Report a safety problem Recalls NHTSA's 5-Star Safety Ratings Car seats and booster seats Takata recall spotlight Recall notification emails SaferCar app GO TO NHTSA.GOV NHTSA Information * About NHTSA * Careers & Internships * Contact Us * Sign Up for Recall Alerts * Report a Safety Problem Information For * Vehicle Manufacturers * State Governments * Enforcement & Justice NHTSA Sites * TrafficSafetyMarketing.gov * EMS.gov * 911.gov Website Information * Web Policies & Notices * Accessibility * FOIA * Privacy Policy * Information Quality * No Fear Act Data * Ethics * Civil Rights * Office of Inspector General * OIG Hotline * BusinessUSA * USA.gov * WhiteHouse.gov National Highway Traffic Safety Administration 1200 New Jersey Avenue, SE Washington, D.C. 20590 1-888-327-4236 1-800-424-9153 (TTY) Twitter Facebook Youtube Instagram Submit Feedback > × RESEARCH REQUESTS Fees & Copying Services: $50 per hour / $0.10 per page By authority listed in Title 49, Code of Federal Regulations, Part 7, there are fees assessed by TIS for this service. We charge a standard labor charge of $50.00 per hour for requests involving computer searches, locating and copying documents. In addition, we charge duplication fees, which are $0.10 per page for paper-based or imaged documents. Some files are only available on microfiche; which means you will receive paper-based copies of microfiche sheets. Research Requests (0) CONTACT INFORMATION All fields are required unless indicated First Name (Required) Last Name (Required) Company Name (Required) SHIPPING INFORMATION All fields are required unless indicated Address (Required) Address Line 2 (Optional) City (Required) State (Required) ZIP Code (Required) Phone (Required) Email Address (Required) cancel complete request ×