Florida Pedestrian/Bicycling Safety Resource Center Forms
Thank you for requesting materials from the Florida Pedestrian/Bicycling Safety Resource Center (SRC).
Pre-Event Forms
Community Partner Agreement Form
The Community Partner Agreement Form along with a helmet training certificate are required to order helmets. If it has been more than a year since you received your certificate, You will need to complete the refresher video here.
During Event Forms
Materials Distribution Signature Form (Helmets and Arm/Wrist Bands)
Helmets may use the pledges, surveys, or sign-in sheets (preferred).
Alert Today Pledge Alert Tonight Pledge
Alert Today Survey Alert Tonight Survey
Bicycle Lights
If you are a law enforcement officer in a focus county, you may order bicycle lights. You must use this form when distributing the lights.
For tangible items given at a presentation or training, return a sign-in sheet listing each participant that attended.
Print Items
Report on the number of pieces of each item distributed using the reporting feature in your profile.
Post Event Forms
Helmet Training Attendance Sheet
Regional trainers, after a class, upload your attendance list using this link, so we can provide certificates.
PedBike SRC Evaluation Form
Please help us improve our services by completing our online evaluation.