Dui Overtime Enforcement Stat Sheet

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DUI   O vertime   E nforcement   S tat   S heet
Please   r etain   t his   f orm   f or   f our   ( 4)   f iscal   y ears.  
The   U HSO   m ay   r eview   t hese   r ecords   f or   a uditing  
purposes.        
Officer   N ame
Badge   #
Employee   #
Agency
Time   s tart
Time   e nd
Event
Activity   D ate
Miles   t raveled   ( estimate)
 
 
Total   H ours   C laimed
 
Hourly   W age   S traight   T ime
 
#of   W arrants
Dollar   A mount   o f   W arrants
Vehicles   S topped
DUI   E nforcement
DUI   A rrests
#   o f   S tate   T ax   I mpound
Alcohol
Drug
Metabolite
Violator's   V ehicle   f or   D UI  
#   o f   F ield   S obriety   T ests   G iven
 
Test   R esults
Blood   T est  
Urine   T est
 
Refusal
BRAC   R esults
Yes No
Yes
No
Yes
Person   1
 
 
point
Person   2
 
 
point
Person   3
 
 
point
Person   4
 
 
point
Person   5
 
 
point
Comments
Designated   D river
Recovered   S tolen   V ehicle
Fugitives   A pprehended
Violation
Citation
Warning
DUI
Violation
Citation
Warning
Open   C ontainer
Speeding
Youth   A lcohol
Texting
Drug-­‐Misdemeanor
Reckless
Drug-­‐Felony
Careless
Ignition   I nterlock   V iolation
Failure   t o   Y ield
Alcohol   R estricted   D river
Following   T oo   C lose
Seat   B elt
Improper   T urn
Child   R estraint
Stop   S ign   o r   L ight
Driving   o n   S uspension
Improper   L ane   T ravel
Registration   V iolation
Other   M oving
Other   D L   V iolation
Other   M isdemeanor
No   I nsurance
Other   F elony
Other   N on-­‐Moving
I   c ertify   t he   a bove   i nformation   i s   c orrect.  
Officer   S ignature
Date
Approved   b y:
Supervisor   o r   T eam   L eader   S ignature
Date

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