ASA Law Enforcement Questionaire

Please complete all of the sections below with information that pertains to your citation or dealings with local law enforcement (positive or negative). The more information you provide regarding your incident, the better. The American Sand Association will not advocate on behalf of your position, but will use this information in our discussions with law enforcement officials.

First Name * Place Your First Name Here.
Last Name * Place Your Last Name Here.
Street Address * Place Your Street Address Here.
City, State, Zip Code * Enter Your City, State, and Zip Code Here.
Phone Number Enter The Best Number for us to contact you at.
E-Mail Address * Enter your Email Address Here.
Date of Contact * Enter the Date you had contact/citation with the Law Enforcement.
Time of Contact Enter the Time you had contact with Law Enforcement.
Agency Involved * Select the Agency Involved from the Drop Down.
Nature of Contact * Enter the description of your contact with the Law Enforcement.
Location of the Incident * Enter the Location of the incident.
Name of Officer * Enter the Name of the Officer Involved
Badge # Enter the officers badge # if you have this.
Licence # of Law Enforcement Vehicle Enter the License Plate # of the Law Enforcement Vehicle if you have this.
Violation Code # Enter the Violation Code Here, if you received a citation or warning.
Other Information/Comments * Enter Other Information or Comments you would like for us to have.

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