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