TS 34

							                                                                     Highway Safety Project Grant
                                                                     Holiday Mobilization Monitoring

Date:
Grantee:                                              Project Number:

Holiday Period:
    Thanksgiving Safety Belt Enforcement                Cinco de Mayo Roadside Safety Checks
   Christmas & New Years Roadside Safety Checks         Memorial Day Safety Belt Enforcement
   Super Bowl Roadside Safety Checks                    Independence Day Roadside Safety Checks
    St. Patrick’s Day Roadside Safety Checks            Labor Day Roadside Safety Checks
     Additional Safety Belt Enforcement                 Additional Roadside Safety Checks


    Safety Belt Enforcement:                            Roadside Safety Check:
Day Time Zones Planned                               RSC’s Planned
Day Time Zones Conducted                             RSC’s Conducted
Night Time Zones Planned
Night Time Zones Conducted

Budgeted                        $                    Budgeted        $
Actual                          $                    Actual          $
Claim Date                                           Claim Date

                        Reports Filed                                         Reports Filed
         TS 205                                             TS 205


                                              Date                                            Date


Issues Needing Resolution:
    None
    Claims not filed
    Reports not filed
    Majority of budget not utilized
    Other




Issues Resolved:




Filed by:
                                      Signature                        Date

Reviewed by:
  (optional)                          Signature                        Date



Printed 1/30/13                                                                               TS 34 (Rev. 01/23/09)