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pdfR-84c (9-22-2017)
OMB 1110-0051
1) Please provide a copy of the incident report, field test, and any lab/test results.
2) Was the offense alcohol or drug related?
3) Please provide the drug type/amount/weight if applicable.
4) Did the subject admit to possessing/using a controlled substance?
5) Please provide the statute and subsection for which the subject was convicted?
6) If drug related, please provide the specific substance the subject was convicted
of possessing or of being under the influence?
File Type | application/pdf |
File Modified | 2017-09-28 |
File Created | 2017-09-26 |