AASHTO SLF-5, Safety Leadership Forum V: Final Report (2011), documents the proceedings of the fifth AASHTO Safety Leadership Forum. The report opens with an executive summary followed by welcoming remarks on working together toward zero deaths. Included presentations review motor vehicle crash data trends and the role of public health programs and professionals in achieving fatality goals. A session on mapping the path to achieving the AASHTO safety goal outlines a national strategy approach. State chief executive officers share challenges and success stories in conversation circles on how the nature of the safety problem directs how it is tackled. The report is intended for state DOT safety leaders and others involved in advancing highway safety programs toward national fatality reduction goals.