Financial Assistance Form

CLS Seatbelt Awareness Foundation focus is on families affected by loss due to vehicle accidents. Our mission is to provide support through programming, community engagement and educational programs. We are currently ONLY providing funding to families located in Las Vegas Nv. We will provide financial support for Car crashes ONLY. If you meet these requirements please fill out the application below. Please upload pictures and or articles associated with the vehicle accident along with other supporting documentation.