Step 1 of 5 - Emphasis Patrol Info 20% EmphasisCounty/Agency* CountyAdamsAsotinBentonChelanClallamClarkColumbiaCowlitzDouglasFerryFranklinGarfieldGrantGrays HarborIslandJeffersonKingKitsapKittitasKlickitatLewisLincolnMasonOkanoganPacificPend OreillePierceSan JuanSkagitSkamaniaSnohomishSpokaneStevensThurstonWahkiakumWalla WallaWhatcomWhitmanYakima Agency Emphasis Issue* DUI Distracted Driving Seat Belt Speed Motorcycles Emphasis Type* Statewide HVE Local HVE TZT Col EndPatrolRow 1# of Overtime Hours*Please enter a number from 0 to 500.# of Regular Hours*Please enter a number from 0 to 500.Officer Name*Badge #Row 2DRE Certification* Yes No ARIDE Trained* Yes No Emphasis CityCol endRow 3Date of Patrol* MM slash DD slash YYYY Start Time (24h)* : Hours Minutes End Time (24h)* : Hours Minutes TotalsRow 4# of Contacts*Please enter a number less than or equal to 1000.Count one contact for each vehicle stopped. Add one contact for each person who receives a citation other than the driver.# of Motorcycle contacts*Please enter a number less than or equal to 1000.Count one motorcycle contact for each motorcycle stopped. Add one contact for each person who receives a citation other than the driver.DUI Arrests*Please enter a number less than or equal to 1000. Arrests/Criminal ViolationsFelony Drug ArrestsPlease enter a number from 0 to 500.Misdemeanor Drug ArrestsPlease enter a number from 0 to 500.Felony Warrant ArrestsPlease enter a number from 0 to 500.Misdemeanor Warrant ArrestsPlease enter a number from 0 to 500.Other Felony ArrestsPlease enter a number from 0 to 500.Other Misdemeanor ArrestsPlease enter a number from 0 to 500.R6bStolen Vehicles RecoveredPlease enter a number from 0 to 500.Minor in Possession (Citation)Please enter a number from 0 to 500.R6cTraffic Infractions/CitationsR7Speeding (Citations)Please enter a number from 0 to 500.Speeding (Warnings)Please enter a number from 0 to 500.R8Reckless Driving (Citations)Please enter a number from 0 to 500.Reckless Driving (Warnings - Comments Required)Please enter a number from 0 to 500.R9Negligent Driving (Citations)Please enter a number from 0 to 500.Negligent Driving (Warnings - Comments required)Please enter a number from 0 to 500.R10Other Moving Violations (Citations)Please enter a number from 0 to 500.Other Moving Violations (Warnings)Please enter a number from 0 to 500.R11Cell Phone Usage (Citations)Please enter a number from 0 to 500.Cell Phone Usage (Warnings)Please enter a number from 0 to 500.R12Texting/Other Electronic Device (Citations)Please enter a number from 0 to 500.Texting/Other Electronic Device (Warnings)Please enter a number from 0 to 500.R13Equipment Violations (Citations)Please enter a number from 0 to 500.Equipment Violations (Warnings)Please enter a number from 0 to 500.R14No Insurance (Citations)Please enter a number from 0 to 500.No Insurance (Warnings)Please enter a number from 0 to 500.R15Other Non-Moving Violations (Citations)Please enter a number from 0 to 500.Other Non-Moving Violations (Warnings)Please enter a number from 0 to 500.Col endDriver's LicenseID Violations (Citations)Please enter a number from 0 to 500.ID Violations (Warnings)Please enter a number from 0 to 500.R17DWLS/R (Citations)Please enter a number from 0 to 500.DWLS/R (Warnings)Please enter a number from 0 to 500.R18NVOL (Citations)Please enter a number from 0 to 500.NVOL (Warnings)Please enter a number from 0 to 500.R19Ignition Interlock Violations (Citations)Please enter a number from 0 to 500.Seat Belt/Child Car Seat ViolationsR20Car Seat Infractions (Citations)Please enter a number from 0 to 500.Car Seat Infractions (Warnings)Please enter a number from 0 to 500.Seat Belt Infractions (Citations)Please enter a number from 0 to 500.Seat Belt Infractions (Warnings)Please enter a number from 0 to 500.R22Infractions for Seat Belt Misuse (Citations)Please enter a number from 0 to 500.Infractions for Seat Belt Misuse (Warnings)Please enter a number from 0 to 500.Motorcycle InfractionsR23No Valid Endorsement (Citations)Please enter a number from 0 to 500.No Valid Endorsement (Warnings)Please enter a number from 0 to 500.R24No Helmet (Citations)Please enter a number from 0 to 500.No Helmet (Warnings)Please enter a number from 0 to 500.R25Unapproved Helmet (Citations)Please enter a number from 0 to 500.Unapproved Helmet (Warnings)Please enter a number from 0 to 500.R26Motorcycle ImpoundPlease enter a number from 0 to 500. Impaired Driving: DUI Contact #1R27DRE Involved* Yes No Requested, but unavailable DUI Arrest* Alcohol Only Drug Only Alcohol & Drug R28PBT* Administered Refused SFST* Administered Refused BAC* BAC .079 or Lower BAC .080 or Higher BAC Refusal Blood Warrant Location of StopLocation of Last DrinkOther InformationUnusual circumstances, high BAC, marijuana, young driver, etc. Impaired Driving: DUI Contact #2R29DRE Involved* Yes No Requested, but unavailable DUI Arrest* Alcohol Only Drug Only Alcohol & Drug R30PBT* Administered Refused SFST* Administered Refused BAC* BAC .079 or Lower BAC .080 or Higher BAC Refusal Blood Warrant Location of StopLocation of Last DrinkOther InformationUnusual circumstances, high BAC, marijuana, young driver, etc. Impaired Driving: DUI Contact #3R31DRE Involved* Yes No Requested, but unavailable DUI Arrest* Alcohol Only Drug Only Alcohol & Drug R32PBT* Administered Refused SFST* Administered Refused BAC* BAC .079 or Lower BAC .080 or Higher BAC Refusal Blood Warrant Location of StopLocation of Last DrinkOther InformationUnusual circumstances, high BAC, marijuana, young driver, etc. NotesNotesPlease explain any condition/situation that hindered you from meeting the minimum performance requirement of 3 contacts per hour (e.g. unusual occurrences, officer assists, waiting for tow, etc.).This field is hidden when viewing the formContacts per hourThis field is hidden when viewing the formCitations per hourThis field is hidden when viewing the formDUI arrests per hour
