Profiling
First Name
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Last Name
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Address Line 1
Your answer
Address Line 2
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City
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Zip Code
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Email Address
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Stop Date
MM
/
DD
/
YYYY
Stop Time
Time
:
Stop Duration
Hrs
:
Min
:
Sec
Reason Officer Made The Stop
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Officer Name
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Officer Badge No
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Officer Agency
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Cited
Citation Number(s)
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Other Notations
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