Data Collection

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WISCONSIN TRAFFIC STOP DATA COLLECTION FORM

1. Agency Name 2. Officer ID

3. Date of Stop 4. Time of Stop


IDENTIFICATION

5. County 6. Municipality

7. On Route 8. At Route

9. Roadway Type Interstate US/WI Route County Road City Street Other

10. Latitude 11. Longitude

12. License Plate # 13. Plate Type 14. State


VEHICLE

15. Expiration Year 16. Body Style 17. Color

18. Vehicle Year 19. Make 20. Model


OCCUPANTS

21. Number of Passengers Observed 22. At Least One Non-White Passenger Observed? Yes No

23. Driver Zip Code 24. Driver DOB (or Age) 25. Driver Sex

26. Driver Race/Ethnicity Asian/Pacific Islander Black Hispanic American Indian/Alaskan Native White

27. Reason for Stop (check all that apply) 28. Detailed Reason (check all that apply)
REASON

Moving Violation Pre-Existing Information None Traffic Sign/Signal


Non-Moving Violation Criminal Offense Speed Light Equipment Violation
Equipment Violation Investigatory Stop Lane Violation Expired Registration
Other Seat Belt Follow Too Close

29. Event Outcome (check all that apply) 30. Event Duration
OUTCOME

No Action Citation 0 - 10 minutes 31 - 60 minutes


Verbal Warning Custodial Arrest 11 - 20 minutes 60+ minutes
Written Warning 21 - 30 minutes

31. Consent Requested Yes No 32. Consent Received Yes No 33. Search Conducted Yes No
VEHICLE
SEARCH

34. Search Basis (check all that apply) 35. Contraband Found (check all that apply)
Consent Incident to Arrest Warrant None Illicit Drugs Intoxicants
Probable Cause Inventory Exigent Circum. Weapons Crime Evidence Stolen Goods
Other Excessive Cash Other

36. Consent Requested Yes No 37. Consent Received Yes No 38. Search Conducted Yes No
SEARCH
DRIVER

39. Search Basis (check all that apply) 40. Contraband Found (check all that apply)

Consent Incident to Arrest Warrant None Illicit Drugs Intoxicants


Probable Cause Inventory Exigent Circum. Weapons Crime Evidence Stolen Goods
Other Excessive Cash Other

41. Consent Requested Yes No 42. Consent Received Yes No 43. Search Conducted Yes No
PASSENGER

44. Search Basis (check all that apply) 45. Contraband Found (check all that apply)
SEARCH

Consent Incident to Arrest Warrant None Illicit Drugs Intoxicants


Probable Cause Inventory Exigent Circum. Weapons Crime Evidence Stolen Goods
Other Excessive Cash Other

46. Passenger Race/ Asian/Pacific Islander Black Hispanic American Indian/Alaskan Native White
Ethnicity

TSDC_Form01 Rev. 11/03/2010


PASSENGER 41. Consent Requested Yes No 42. Consent Received Yes No 43. Search Conducted Yes No

44. Search Basis (check all that apply) 45. Contraband Found (check all that apply)
SEARCH

Consent Incident to Arrest Warrant None Illicit Drugs Intoxicants


Probable Cause Inventory Exigent Circum. Weapons Crime Evidence Stolen Goods
Other Excessive Cash Other

46. Passenger Race/ Asian/Pacific Islander Black Hispanic American Indian/Alaskan Native White
Ethnicity

41. Consent Requested Yes No 42. Consent Received Yes No 43. Search Conducted Yes No
PASSENGER

44. Search Basis (check all that apply) 45. Contraband Found (check all that apply)
SEARCH

Consent Incident to Arrest Warrant None Illicit Drugs Intoxicants


Probable Cause Inventory Exigent Circum. Weapons Crime Evidence Stolen Goods
Other Excessive Cash Other

46. Passenger Race/ Asian/Pacific Islander Black Hispanic American Indian/Alaskan Native White
Ethnicity

41. Consent Requested Yes No 42. Consent Received Yes No 43. Search Conducted Yes No
PASSENGER

44. Search Basis (check all that apply) 45. Contraband Found (check all that apply)
SEARCH

Consent Incident to Arrest Warrant None Illicit Drugs Intoxicants


Probable Cause Inventory Exigent Circum. Weapons Crime Evidence Stolen Goods
Other Excessive Cash Other

46. Passenger Race/ Asian/Pacific Islander Black Hispanic American Indian/Alaskan Native White
Ethnicity

41. Consent Requested Yes No 42. Consent Received Yes No 43. Search Conducted Yes No
PASSENGER

44. Search Basis (check all that apply) 45. Contraband Found (check all that apply)
SEARCH

Consent Incident to Arrest Warrant None Illicit Drugs Intoxicants


Probable Cause Inventory Exigent Circum. Weapons Crime Evidence Stolen Goods
Other Excessive Cash Other

46. Passenger Race/


Asian/Pacific Islander Black Hispanic American Indian/Alaskan Native White
Ethnicity

41. Consent Requested Yes No 42. Consent Received Yes No 43. Search Conducted Yes No
PASSENGER

44. Search Basis (check all that apply) 45. Contraband Found (check all that apply)
SEARCH

Consent Incident to Arrest Warrant None Illicit Drugs Intoxicants


Probable Cause Inventory Exigent Circum. Weapons Crime Evidence Stolen Goods
Other Excessive Cash Other

46. Passenger Race/ Asian/Pacific Islander Black Hispanic American Indian/Alaskan Native White
Ethnicity

41. Consent Requested Yes No 42. Consent Received Yes No 43. Search Conducted Yes No
PASSENGER

44. Search Basis (check all that apply) 45. Contraband Found (check all that apply)
SEARCH

Consent Incident to Arrest Warrant None Illicit Drugs Intoxicants


Probable Cause Inventory Exigent Circum. Weapons Crime Evidence Stolen Goods
Other Excessive Cash Other

46. Passenger Race/ Asian/Pacific Islander Black Hispanic American Indian/Alaskan Native White
Ethnicity

TSDC_Form01 Rev. 11/03/2010

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