Below are the various forms and other downloads used in the National Standardized Child Passenger Safety Training Program. The version date of recently added or updated forms is in bold.

PLEASE NOTE: Generic registration forms are no longer available for download. All registrations must be done online. During the registration process, you will have the option to print a personalized registration form to submit with your check, purchase order or money order.

Certification

• Registration - This form is no longer available for download

Re-certification

Links will open a new window.

• Personal Re-certification Log - ver. 05/2008
• Re-certification flow chart

• Verified Inspection Activity Worksheet - ver. 4/2005

• CPS CEU Category 1 and 4 Pre-approval Request Form - ver. 03/2007
• Tips on How to Get CEUs - ver. 7/2007

• Log for CPS Observing a Certification Course (LEAD INSTRUCTOR) - ver. 07/2007
• Log for CPS Observing a Certification Course (PARTICIPANT) - ver. 07/2007

• Sample 3-hour update and sign in - Detailed (courtesy of Sharon Munns) ver. 10/2007
• Sample 3-hour in-store update (courtesy of Bill Van Alstyne)
• Sample 4-hour in-store and parking lot agenda
• Sample sign in sheet (courtesy of Bill Van Alstyne)
• Sample agenda for a 1-day update worth 6 CEUs
• Sample agenda for a 1-day update worth 6 CEUs  (courtesy of CT DOT/Transportation Safety Section) ver. 03/2007

• Examples of scientific articles - ver. 6/2008
• Link to 2007 LATCH quiz
  • At Safe Ride News, click on Contents/Site Map (purple box), scroll down to CEU section and
    click on the link (pdf) for the Latch Quiz.
• Link to car seat manufacturer quiz **2007 Quiz now available **
  • At the Safety Belt Safe USA home page, click on CEU's for Recertification (under the column Tools for Techs).
    To get to the quiz, you must click on the blue word quiz near the bottom of the page.
• Link to Tech Update
  • At the CPS Board's home page, click on Earn CEUs Online (right column). You will have several editions to choose from.
  
  
• Online Sessions
  • www.buckleupillinois.org - 4 online presentations worth 1 CEU each (Link directly to Web sessions)
    • At www.buckleupillinois.org, click on CPS Re-certification (red box on the right). Then click on CEU Opportunities (second gray box on right).
      Click on Web Seminar and then pick the seminar you would like to watch. Consider printing the quiz before watching the session.
  • www.cpsboard.org - 3 online presentations worth 1 CEU each. Click on the Earn CEUs Online link on the right. Read the instructions and requirements carefully.

Course Administration

• Planning and Logistics Guide - ver. 5/2006
• Checkup Event Guidelines - ver. 4/2006
• Written Exam Administration Instructions - ver. 4/2008
• Skills Assessment Administration Instructions - ver. 4/2007
• Course Administrator Application - ver. 7/2005

• Sample Course Evaluation - ver. 04/2007
• Sample Instructor Evaluation - ver. 11/2005

• Terms - Spanish-English - ver. 03/2006

Nursing CECH

In order for nurses attending a Certification Course to receive CECH the Lead Instructor must register the course through the Emergency Nurses Association by completing and submitting one CPS Class Request Form for the course and a Instructor Biographical Data Form for each instructor at least two weeks before the course.

• Nursing CECH: Instructor Biographical Data Form - ver. 1/2006
• Nursing CECH: CPS Class Request Form - ver. 1/2006

Instructor Candidacy

• Registration - This form is no longer available for download
• Instructor Candidate Evaluation - ver. 2/2005
• Required Documentation Form– ver. 6/2008
• Mentor-IC worksheet – ver. 2/2007

Miscellaneous

• Generic Car Seat Checklist (SKW) - ver. 1/2007
• Generic Car Seat Checklist - Spanish (SKW) - ver. 1/2007
  
  
• Generic letter to Supervisors about program - ver. 7/2007
  
  
• Letter to Instructors Regarding Spanish-language Curriculum - ver. 10/2005
• Fee Refund Application - ver. 4/2008
• Appeals Cover Sheet - ver. 12/2004 (must accompany all written appeals)
• General NSCPSTP PowerPoint™ presentation - ver. 11/2004
  
  
• You Might be a CPS Technician If...- ver. 9/2007

• Safe Kids' W9