Example Violation Form
Plate number:

    Enter plate number without any spaces or dashes. Lower case letters will be saved in upper case.
What state is this  plate from:      
In what state did the violation occur:        
Select the traffic violation(s):

check one or more of the listed violations:

speeding cell phone/texting
reckless driving tailgating
road rage stop sign
turn signal traffic light
driving too slowly hit and run
school bus/zone violation other
appeared intoxicated
optional 
Police department notification:
If you would like this violation report to be mailed to the local police department simply enter the 5-digit zip code where this violation occured so that we may determine the mailing address of that police department.


(5 character max) 
optional 
Vehicle description:

 
optional 
Date and time of violation:
If you do not identify the date and time for the violation, we will default to the current date.		   If this violation took place today enter 0, otherwise enter a number to indicate how many days ago that this happened. For example, if this happened 3 days ago enter 3.

 Time of violation:     

optional
 Location of violation: 
(county, city, street) 		  
optional
 Description of driver:
 
optional
 Number of passengers in the vehicle:

    

 

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