Florida Occupant Protection Resource Center
Safety Materials Distribution Reporting Form

Thank you for requesting safety resources from the Florida Occupant Protection Resource Center (OPRC). The OPRC's goal is to increase awareness of and encourage safety practices for motor vehicle occupants. We hope the materials you received were appropriate for your needs.

Please fill out this form after each event where tangible items are distributed. If you have any questions, please call 352.273.1671. Thank you!

Please complete the following: 

Required field(s) are indicated by an *.
* State * Zip
Event Information:
* Date: / / (MM/DD/YYYY)
Note: The Attach Documentation button allows for only one document to be attached to your report. It is required that you combine all files into a single pdf file for upload.