Stop Stick® - Deployment Reporting

Post Title

Post Unique ID

Agency Name *

Date of Offense *

Telephone *

Email Address *

Country *

Agency Address *

City *

State *

Zipcode *

Originating Agency

Assisting Agencies

Time Started *

Time Ended *

Which device was used? *

Reason for pursuit?

Was this pursuit initiated as a result of a traffic stop?

Additional Charges

Miles covered during chase

MPH when STOP STICKS were hit

Miles covered after spiked *

Road Surface

Number Of Tires Flattened *

Which Tires Flattened

R/Front
L/Front
R/Rear
L/Rear

STOP STICK deployed

Make of target vehicle

Model

Year

If you would like to be contacted in regards to replacement status, please provide contact information.

IMPORTANT - SERIAL NUMBER OF DAMAGED STOP STICK(S) *

SERIAL #1 OF DAMAGED STOP STICK *

SERIAL #2 OF DAMAGED STOP STICK *

SERIAL #3 OF DAMAGED STOP STICK *

SERIAL #4 OF DAMAGED STOP STICK *

SERIAL #5 OF DAMAGED STOP STICK *

SERIAL #6 OF DAMAGED STOP STICK *

SERIAL #7 OF DAMAGED STOP STICK *

SERIAL #8 OF DAMAGED STOP STICK *

COMMENTS

Deploying Agency *

Deploying Officer *

Case #

Badge #

Reporting Agency *

Reporting Officer *

How satisfied are you with Stop Stick? *

Please provide any additional comments

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Stop Stick® – Deployment Reporting