Confederation of Clubs San Diego

MMA-CA MOTORCYCLE RIGHTS TASK FORCE

TRAFFIC STOP REPORT FORM

 

This information may be presented to State or Federal legislators, as well as police or DOT administrators. It will be used to document law enforcement activity to ensure reasonable law enforcement. Provide as much information as possible, attaching additional pages if necessary.

 

 

Please Print Legibly

Were you the Driver ___ Passenger ___ Witness ___? Vehicle: Make/Model ________________________ Year ________

 

Date/Time of incident in this report: __________________________________ Were you alone / in a group? (Circle One)

 

Full legal name: _____________________________________________________________________________________

Address _______________________________________ City ___________________________ State ____ Zip ________

Phone: Day phone (      ) __________________________  Evening phone (      ) ________________________________

Were you a witness to, or the subject of law enforcement activity? Witness _________ Subject ________

 

What reason did law enforcement give for the stop (probable cause)?

 

Did the law enforcement officer properly identify him/herself to you? Attach copy of his/her card, or complete the following: Officer’s name, ID number, agency (local police, task force, hwy patrol, etc.)

­­­­­­­­­­­­­­­­­­­­­­­­­­­­­Did law enforcement treat you fairly & respectfully? Yes ____ No ____ If no, explain: _____________________________

Were you detained? If yes, how long? ___________________________________________________________________

Did the law enforcement officer fill out a field interview card (F.I.C.) on you? Yes ____ No ____

Were you photographed? Yes ____ No ____ If yes, what was photographed (bike/vehicle, tattoos, etc.)

Was there video surveillance or audio recording on the scene? Yes ____ No ____ If yes, who was filming/recording (law enforcement, MRO, both)? ____________________________________________________________________________

Were you questioned? Yes ____ No _____ If yes, what questions were asked and what comments were made by law enforcement? _______________________________________________________________________________________

Did you consent to any search by law enforcement? Yes ____ No ____ If yes, explain why. (Remember, you are not required to consent to a search for any reason.) ___________________________________________________________

 

Were you searched? Yes ____ No ____ If yes, what was searched – you, your bike/vehicle, other property?

Was any of your property confiscated? Yes ____ No ____ If yes, list: __________________________________________

Were you cited? Yes ____ No ____ If yes, please provide the following (or attach a legible copy of complaint):

Cite # ______________________________________ ARS section violated ______________________________________

Date of Court appearance ­­­­­­­­­­­­­­­­­­­­­­­_____________________ Location/Time of appearance _______________________________

 

Please attach additional info/documentation regarding the stop that may be useful (witness statements, etc.)