Skip to Primary Navigation Skip to Site Navigation Skip to Main Content
 
Entry Form 2012 Looking Beyond the License Plate
A National Law Enforcement Recognition Program

For observations occurring between June 1, 2011 and May 31, 2012
Entry Rules

OFFICER INFORMATION:
Note: (*) indicates required field.
First Name*
MI
Last Name*
Rank*
Badge No*
Unit Assigned*
Precinct or Substation*
POLICE DEPARTMENT:
Name*
Street*
City*
State*
Zip*

Note: For this entry to be considered by the judge, 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)

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:
(Form must be submitted by head of agency)
First Name*
MI
Last Name*
Title*
e-mail*
Today's Date* (MM/DD/YYYY)
Phone (000-000-0000)
Fax (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.

Police Officer - Looking Beyond the License Plate

Complete the form to the left, or click here for an Adobe Acrobat, PDF version of the form to be printed, completed and mailed in.

Questions about this form? Call 651-733-3847

Help Us Help You
Please provide feedback often — each visit if possible.
Fast Feedback
Were you able to complete your task on this visit to the Traffic Safety portion of 3M.com?
Yes
No
  
OR