Stop Arm Violation Form
Email address *
Date of Incident *
MM
/
DD
/
YYYY
Time of Incident *
Time
:
Witness's Full Name & Job Position *
Your answer
Bus # - example 15 or 15-14 (never-6550)
Your answer
Details of Violation
Describe Exact Location/Stop Location/Cross Streets *
Your answer
Travel Direction of the Bus *
Travel Direction of Violator *
Description of Violator's Vehicle - Make/Model/Color *
Your answer
Year of the vehicle and/or License Plate #
Your answer
Description of the Driver (male or female, age, hair color, build/size, color of clothing, etc.)
Your answer
Other Comments that would help the officer.
Your answer
Date Reported to the Police *
MM
/
DD
/
YYYY
Report submitted by (if different from witness)
Your answer
A copy of your responses will be emailed to the address you provided.
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