Officer Activity Log and Report - Minnesota



OFFICER ACTIVITY REPORT

Toward Zero Death (TZD)

|GENERAL INFORMATION |

|Officer & | |Agency | |

|Badge # | | | |

|Date(s): |Event Type: |Belt |Speed |DWI |Other (Describe) |

| |(Check one) | | | | |

|Start Time |End Time |Total Hours Worked |Night Belt Hours |Total Mileage |

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|EVENT DATA |

| |Number of Vehicles Stopped (Not Including Motorcycles) |

| |Number of Motorcycles Stopped |

| |Number of People Taken Into Custody |

| |Number of Vehicles Towed (No One in Custody) |

|Arrests and |Warnings |Type of Violation |

|Citations | | |

| | |Seat Belts |

| | |Child Restraints |

| | |Speed |

| | |DWI |

| | |DAR/DAC/DAS |

| | |Zero Tolerance (Under 21 Drinking & Driving) |

| | |Move Over Law |

| | |Texting |

| | |Equipment Violations |

| | |Other Moving Violations (Not Reported Above) |

| |Number of Designated Drivers Contacted |

|Comments and Noteworthy Activities (use space below) |

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TZD 2013 Activity Log

Name: Date:

| | | |(W)arning | |ICR # | |

|Time |Vehicle License # |Reason for Stop |(C)itation |Violation(s) |Citation # |Notes |

| | | |(A)rrest | |Reason Code | |

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TZD 2013 Activity Log

Name: Date:

| | | |(W)arning | |ICR # | |

|Time |Vehicle License # |Reason for Stop |(C)itation |Violation(s) |Citation # |Notes |

| | | |(A)rrest | |Reason Code | |

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TZD 2013 Activity Log

Name: Date:

| | | |(W)arning | |ICR # | |

|Time |Vehicle License # |Reason for Stop |(C)itation |Violation(s) |Citation # |Notes |

| | | |(A)rrest | |Reason Code | |

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