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Vision Zero in the United States is largely organized under the Vision Zero Network, which helps support communities who are established in Vision Zero policies or are looking to do so. In order to be recognized by the Vision Zero Network, cities need to meet the following criteria:

• "Setting a clear goal of eliminating traffic deaths and serious injuries among all road users within an explicit timeframe (i.e. 10 years);
• The Mayor (or top elected official) publicly, officially committing to Vision Zero within the set timeframe and directing appropriate city staff to prioritize the work;
• A Vision Zero Action Plan or Strategy is in place, or the Mayor and key departments have committed to creating one in a specified time frame and which includes a focus on being data driven, equitable, and including community input;
• Key city departments, including Transportation, Public Health, and Mayor’s Office are actively engaged as leaders and partners in the process of developing the Vision Zero Plan, implementing it, and evaluating and sharing progress;
• A Vision Zero Task Force (including the agencies listed above, as well as community stakeholders, and others) meets regularly to lead and evaluate efforts."

Not all cities which have Vision Zero policies in the United States are recognized by the Vision Zero Network. Thus, there are more who have Vision Zero policies and programs than the 51 jurisdictions recognized by the organization.

• Cincinnati: In June 2019, The City of Cincinnati launched their Vision Zero planning process, which included both school zone and citywide surveys. Additionally, an interactive map was created to help users identify unsafe traffic areas. As of December 2021, there have been 101 Vision Zero projects completed. Despite these efforts, Cincinnati is not officially recognized by the Vision Zero Network, but shares many of the same ideals.
• Anchorage, Alaska: The Anchorage Vision Zero Action Plan was finalized in November 2018. It is under the supervision of the Office of Community & Economic Development.
• Houston: On August 13th 2019, Executive Order 1-60 was approved by Mayor Sylvester Turner. In November 2020, The City of Houston developed their Vision Zero Plan, as well as multiple online resources for public access.
• Philadelphia: Mayor James F. Kenney signed Executive Order 11-16 on November 7th, 2016, with a plan to achieve zero traffic-related deaths by 2030.

• Lancaster, Pennsylvania