Child Seat Inspection

2. 

4. First Name*

5. Last Name*

7. Phone Number*

8. Email Address*

10. All Child Seat Inspections will take place by appointment only at the Orange County Sheriff's Office located at: 110 Wells Farm Road Goshen, NY 10924.

    All Child Seat Inspections will take place by appointment only at the Orange County Sheriff's Office located at: 110 Wells Farm Road Goshen, NY 10924.

12. Number of Child Seats to be Inspected*
    -- Select One --123456

13. Date and Time Requested*
    Date and Time Requested

    Date and Time Requested

15. 

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17. 1. Receive an email copy of this form.
18. Email address

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19. Submit

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