Saved by the Belt Award Program

Recognize commercial motor vehicle drivers (CMVD) whose lives are saved or injuries significantly reduced because they were wearing a safety belt at the time of a crash.

To emphasize safety belt use by CMVD.
To use the CMVD as a role model for safety belt use.
To increase public awareness on the benefits of safety belt use.

Qualifications

Persons must meet all of the following criteria to be eligible for receiving the award:

Any CMVD involved in a motor vehicle crash whose lives were saved or injuries significantly reduced because of the use of a safety belt.
The crash occurred within twelve (12) months of nomination.
Nominee must be using a safety belt in the proper manner.
Nominee may not be the driver of the "at-fault" vehicle.

Nominating Process

The reporting person must submit a completed nomination form and a brief narrative of the crash. The appropriate accident or incident report and other supporting documents should be submitted. Indicate why the nominee should be considered for the CMVD Saved by the Belt Award. The completed form must be signed by the nominating person and company official. The nominating person can be:

Any law enforcement officer who investigates, or reviews the investigation of, a crash meeting the stated criteria;
CMVD;
CMVD company representative; or,
Any member of the public;

CVSA Review Procedures

Each entry will be reviewed by the SBTB Committee of CVSA using the following criteria:

Severity of crash;
Severity of injuries/condition;
Circumstances surrounding the crash; and,
CVSA reserves the right to not grant the presentation of the award.

Award

An official certificate of recognition, lapel pin and decal will be awarded.

Nomination Form

Nominee Information

Name:
Address:
City:
State/Province:
Zip/Postal Code:
Phone:	- - ext.
Email:

Nominee's Carrier

Organization:
Contact Person:
Title:
Address:
City:
State/Province:
Zip/Postal Code:
Phone:	- - ext.
Email:

Crash Information

Date:
Location:
Investigating Agency:
Investigating Officer:

Please provide a brief description of crash, injuries or deaths. Include whether
occupants of other vehicle(s) were wearing a safety belt:

Nominating Person

Name:
Title:
Organization:
Address:
City:
State/Province:
Zip/Postal Code:
Phone:	- - ext.
Fax:	- -
Email:

Please forward a copy of the crash report, photographs if available and other supporting documents to CVSA.

By mail:
Commercial Vehicle Safety Alliance
1101 17th Street, NW
Suite 803
Washington, DC 20036

By email:
cvsahq@cvsa.org

By fax:
202-775-1624

For additional questions, please contact us at 202-775-1623.

Disclaimer:
Nomination information is required to be kept in the strictest confidence, including any subsequent information collected and will not be shared or distributed to anyone outside of the organization.

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