THE FORM 
Please note that even though your upset this info is vital and must remain "clean"
With this form you may  leave the information and it will be sent to TMRAII
- Your First Name,(no handles)

- Your Last Name

Your e-mail address
:
- Your City

- Your State

- Your Zip

- (area code)- telephone

- May we use your Name for legislative  purposes ?

-This is a text box area,  -Description of location at time of stop( location, street, road and even conditions )

-Time of day / night stop was made

-Date ( month / day / year )

-Officers Name

-badge ID#

-Agency ( State cop- County cop - City cop )

 

This is a text box area,  to leave the info as to what the officer said was the reason for the stop.

-Citation issued yes / no or warning ticket

- Citation Reason written on ticket ( important, he may have said " i stopped you for speeding but wrote loud pipes" )

This is a text box area, to leave info on "Did the Officer follow reasonable procedure ( explain )

-Did the officer know the law

-Was the officer courteous yes / no

This is a text box area, to leave info on outcome of stop.

These are buttons, for what day this file was sent on to TMRAII
Monday Tuesday Wednesday Thursday Friday Saturday Sunday

- (select to submit form) - (select to clear form)