Agency / Organization
Contact Name
Email Address
Phone Number
Proposed Partners
Discuss what problem you have identified and how many people are killed and seriously injured on Minnesota roadways as a result of it.
Distracted Driving
Distracted Driving
Impaired Driving
Impaired Driving
Motorcycle Safety
Motorcycle Safety
Occupant Protection/Child Passenger Safety
Occupant Protection/Child Passenger Safety
Pedestrian
Pedestrian
Traffic Safety Information
Traffic Safety Information
Rural
Rural
Suburbs
Specific County
Include a description of the geographic area if applicable.
Who will benefit
County Specifics Facts
County Specifics Facts
Crash Facts
Crash Facts
Impaired Driving Facts
Impaired Driving Facts
Maps of Deaths and Injuries
Maps of Deaths and Injuries
OTS website (Reports Statistics)
OTS website (Reports Statistics)
Other Data Source please be specific
Identify the goals / outcome
Estimate of Funding
Explanation of Expenses
Please verify that you are human
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