Vehicle Pursuit Incident Report Form
Complete this form to provide a detailed report of a vehicle pursuit incident.
Incident Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Reporting Officer Name
*
First Name
Last Name
Agency/Department
*
Incident Location
*
Suspect Vehicle Description (make, model, color, plate if known)
*
Reason for Pursuit
*
Pursuit Initiation Method
*
Please Select
Observed Offense
Requested by Another Agency
Other
Pursuit Outcome
*
Please Select
Suspect Apprehended
Suspect Escaped
Pursuit Terminated
Collision Occurred
Other
Actions Taken During Pursuit
*
Additional Notes or Details
Submit Report
Should be Empty: