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Home > Highway Safety
Law Enforcement Grantee Forms
​​       
All of the following forms are to be sent to:
 
Kentucky Office of Highway Safety
Division of Highway Safety Programs
200 Mero St., 4th Floor
Frankfort, Kentucky 40622​​
Final Reporting Form -
Law Enforcement Projects
  • used for year end reporting of grant activities
  • Format: Microsoft Word Document
  • Last updated: February 2011
Activity Reporting Form
  • used for reporting activity including enforcement hours worked, violations, etc.
  • Format: Microsoft Excel Spreadsheet
  • Last updated: October 2011
Supplemental Checkpoints Reporting Form

     Click here to download

  • used for reporting activity including enforcement hours worked, violations, etc. at checkpoints
  • Format: Microsoft Excel Spreadsheet
  • Last updated: October 2011
 Agency Overtime Worksheet
  • used for calculating reimbursement for agency for worked overtime
  • Format: Microsoft Excel Spreadsheet
  • Last updated: October 2011
 Officers Overtime Detail Log
  • detailed log for officers to use when working overtime, with places for indicating citations
  • Format: Microsoft Excel Spreadsheet
  • Last updated: October 2011
​Reimbursement Claim Checklist -
Law Enforcement
  • used for filing claims for reimbursement by law enforcement agencies
  • Format: Microsoft Word Document
  • Last updated: October 2011
Reimbursement Claim Form - 
Law Enforcement
  • used for filing claims for reimbursement by law enforcement agencies
  • Format: Microsoft Excel Spreadsheet
  • Last updated: October 2011
Non-expendable Property Form
  • used for reporting non-expendable equipment purchases
  • Format: Microsoft Word Document
  • Last updated: October 2011
Monitoring Visit Preparation Checklist
  • used for preparing for monitoring visits
  • Format: Microsoft Word Document
  • Last updated: October 2011
Seat Belt Survey Form and Instructions
  • used for conducting seat belt surveys
  • Format: Microsoft Word Document
  • Last updated: October 2011
State Travel Form
  • used for claims for travel to Kentucky​ Lifesavers Conference
  • Format: PDF
  • Last updated: October 2008
Contact Information Contact Info
Kentucky Office of Highway Safety
200 Mero Street, 4th Floor
Frankfort, KY 40622
TOLL FREE (888) 374-8768
Phone: (502) 564-1438
Buckle That Child Hotline (888) 235-8543
FAX (502) 564-0903
Email: highwaysafety@ky.gov
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