Name* Please type your full name. E-mail* Invalid email address. Department Invalid Input Pursuit Reporting Form Number* Please enter a valid reporting ID. This will be present in the email you received from us after submitting your pursuit reporting form. Date of Offense Invalid Input Video Upload* To use this form you must upload a video in an approved format. Approved formats include: mov, mp4, wmv | 500MB Max File Size Please wait, we are processing your request. Uploading large files takes time. The page will display a success message when complete. By clicking “Submit”, I acknowledge that I am authorized by my department/or agency to provide the attached video and information in this electronic form to Stop Stick Ltd. I understand this video may be used in connection with publicizing and promoting Stop Stick Ltd. I authorize Stop Stick Ltd. to use the video, my name, department name, and brief video description as submitted through this form. I hereby irrevocably authorize Stop Stick Ltd. to copy, exhibit, publish or distribute this video for purposes of marketing, training programs or for any other lawful purpose. This video may be used in multimedia presentations, on websites or in any other distribution media Stop Stick Ltd. so chooses. I agree that I will make no monetary or other claim against Stop Stick Ltd. for the use of this video.
