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Entry Form 2013 Looking Beyond the License Plate

National Law Enforcement Recognition Program

For observations occurring between June 1, 2012 and May 31, 2013
Entry Rules

OFFICER INFORMATION:

Note: (*) indicates required field.

First Name*
MI
Last Name*
Rank*
POLICE DEPARTMENT:
Name*
City*
State*

Note: For this entry to be considered by the judging committee, each of the following sections must be completed. Please do not state "see attached" and submit reports, etc. Attachments are encouraged, but concise descriptions are required.

Date incident occurred:

Describe the events leading to the stop or observation (license plate on wanted or hot list, exprired, damaged, dirty, unreadable, etc.):

Detail the result of the traffic stop (e.g., crime solved, apprehension of fugitive, suspect or criminal, etc.

Plate used to identify the vehicle?
Front Rear Temp Tag None

Please explain:

What was the status of the vehicle's registration?
Expired registration Current registration
Unregistered vehicle

What time of day was the stop made?
Daytime Nighttime Low Light (a.m.) Low Light (p.m.) Low Light (other)

OPTIONAL
Please provide any additional materials here including news clips, links to videos, reports, traffic stop program outline and publicity or public information release. Only a single file can be attached, so you may need to combine files. Total file size cannot exceed 3MB. Attach file here:


AGENCY HEAD INFORMATION:

(The agency head will be contacted to review the application. All winners are notified through their agency head.)

First Name*
Last Name*
Title*
e-mail*
Phone (000-000-0000)
The above information will be used to to respond to this request and in accordance with 3M's privacy policy

* I have read and agree to the Looking Beyond the License Plate rules.

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