ENTRY FORM – Road Safety Scheme of the Year You are here: Home / ENTRY FORM - Road Safety Scheme of the Year For sponsorship contact Andy (01732) 448718 Awarded to an organisation which has introduced a scheme or project where through whatever means, such as innovation, design or use of relevant technology, has brought about change in public attitude, or has influenced a demonstrable reduction in road casualty statistics. This applies to a reduction or potential reduction in cycling accidents, pedestrian accidents or better safety measures for disabled road users, as well as drivers. * (Asterisked fields are required) ContactsPlease provide two contact names/phone numbers/email addresses where indictated.First Contact Name* First Last Job Title*Company*Address* Street Address Address Line 2 Town/City County Post Code Telephone*Email Address* Separator LineSecond Contact Name* First Last Telephone*Email Address* Terms & ConditionsI have read and agree to the Terms of Entry* Yes To view T&Cs again, please click here. Name of Scheme*Document Upload AreaWhat road safety issues required addressing and what challenges were overcome?*Max file size 2MB. Provide any contributing factors to the overall success of the scheme.*Max file size 2MB. What are the impact and benefits of the scheme on overall road safety in an area, city or town?*Max file size 2MB. Show evidence of value for money or first year rate of return.*Max file size 2MB. Finally, please upload any other supporting evidence.*Max file size 2MB. Reference No.