Stop Form
I. Reporting Officer
Agency ORI
Officer ID
Officer Years of Service
Officer Type of Assignment
Compliance check
Gang enforcement
Investigative/detective
K-12 Public school
Narcotics/vice
Other
Patrol, traffic enforcement, field operations
Roadblock or DUI sobriety checkpoint
Special events
Task force
II. Setting
Date and Time of Stop
Duration of Stop (Minutes)
Response to Call for Service
--Select--
YES
NO
Location of Stop
Address/Cross Street
III. Officer Perception of Person Stopped
Last Name
First Name
DOB
Phone Number
Address of Person Stopped
Perceived Race Or Ethnicity Of Person Stopped (Select All That Apply)
Asian
Black/African American
Hispanic/Latino(a)
Middle Eastern or South Asian
Native American
Pacific Islander
White
Perceived Gender Of Person Stopped
Male
Female
Gender Nonconforming
Transgender man/boy
Transgender woman/girl
Perceived Age Of Person Stopped
Submit Form
Report submitted
