This Medical Alert Seat Belt Cover is custom printed with any diagnosis or medical instructions. Please MESSAGE US with printing instructions when you place an order. This is durable, waterproof, and washable seatbelt cover is brightly colored for medical alert visibility and keeps your seatbelt clean and protected from spills. Quality velcro closure. Sun and fade resistant. Manufactured with top quality materials in the USA. Padded for comfort. This cover will last for years. Available in bright blue and black. Approximately 14 x 7 inches when open. The backpack/carseat version is approximately 6.5 x 6.5 inches when open. Wash on gentle cycle and lay flat to dry.