www.nhtsa.gov Open in urlscan Pro
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Form analysis
3 forms found in the DOM

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                      placeholder="Search"></td>
                  <td class="gsib_b">
                    <div class="gsst_b" id="gs_st50" dir="ltr"><a class="gsst_a" href="javascript:void(0)" title="Suchfeldeingaben löschen" role="button" style="display: none;"><span class="gscb_a" id="gs_cb50" aria-hidden="true">×</span></a></div>
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        <td class="gsc-search-button"><button class="gsc-search-button gsc-search-button-v2"><svg width="13" height="13" viewBox="0 0 13 13">
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</form>

/search

<form action="/search" id="site-search-modal-form">
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            type="submit" class="btn btn-default"><span class="icon-Search"></span></button></span>
      </div>
    </div>
  </div> <input aria-label="do not enter anything here" autocomplete="nope" tabindex="-1" type="text" name="name" value="" class="hpu"> <!---->
</form>

<form class="request-research-form">
  <div class="row">
    <div class="col-sm-12">
      <h3 class="first">Contact Information</h3>
      <p>All fields are required unless indicated</p>
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  </div>
  <div class="row">
    <div class="col-sm-6">
      <div class="form-group"><label for="firstName" class="control-label">First Name <span>(Required)</span></label> <input id="firstName" type="text" required="required" class="form-control"></div>
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    <div class="col-sm-6">
      <div class="form-group"><label for="lastName" class="control-label">Last Name <span>(Required)</span></label> <input id="lastName" type="text" required="required" class="form-control"></div>
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    <div class="col-sm-12">
      <div class="form-group"><label for="companyName" class="control-label">Company Name <span>(Required)</span></label> <input id="companyName" type="text" required="required" class="form-control"></div>
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    <div class="col-sm-12">
      <h3>Shipping Information</h3>
      <p>All fields are required unless indicated</p>
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      <div class="form-group"><label for="address" class="control-label">Address <span>(Required)</span></label> <input id="address" type="text" required="required" class="form-control"></div>
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    <div class="col-sm-6">
      <div class="form-group"><label for="state" class="control-label">State <span>(Required)</span></label> <input id="state" type="text" required="required" class="form-control"></div>
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    <div class="col-sm-6">
      <div class="form-group"><label for="zipCode" class="control-label">ZIP Code <span>(Required)</span></label> <input id="zipCode" type="text" required="required" class="form-control"></div>
    </div>
    <div class="col-sm-12">
      <div class="form-group"><label for="phone" class="control-label">Phone <span>(Required)</span></label> <input id="phone" type="text" required="required" class="form-control"></div>
    </div>
    <div class="col-sm-12">
      <div class="form-group"><label for="emailAddress" class="control-label">Email Address <span>(Required)</span></label> <input id="emailAddress" type="email" required="required" class="form-control"></div>
    </div>
    <div class="col-sm-12">
      <div class="form-group form-footer"><a role="button" data-dismiss="modal" class="btn btn-transparent btn-no-border">cancel</a> <button type="submit" class="btn btn-transparent btn-huge"> complete request </button></div>
    </div>
  </div>
</form>

Text Content

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RESEARCH REQUESTS

Fees & Copying Services: $50 per hour / $0.10 per page

By authority listed in Title 49, Code of Federal Regulations, Part 7, there are
fees assessed by TIS for this service. We charge a standard labor charge of
$50.00 per hour for requests involving computer searches, locating and copying
documents. In addition, we charge duplication fees, which are $0.10 per page for
paper-based or imaged documents.

Some files are only available on microfiche; which means you will receive
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CONTACT INFORMATION

All fields are required unless indicated

First Name (Required)
Last Name (Required)
Company Name (Required)


SHIPPING INFORMATION

All fields are required unless indicated

Address (Required)
Address Line 2 (Optional)
City (Required)
State (Required)
ZIP Code (Required)
Phone (Required)
Email Address (Required)
cancel complete request

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