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Brown Home Brown Home Brown Home Department of Public Safety

FIELD STOP INQUIRY FORM

If you have been stopped by a member of the Department of Public Safety and you are unsure of the reason or validity of the stop, we invite you to inquire about it. You may do so by filing an inquiry form (below) which will provide us with details of the stop and a way to contact you.

YOUR INFORMATION

Full Name

Home Address/Residence Hall

City, State, and Zip Code

Business Address


Primary Phone

Optional Information (for statiscial purposes only)

Race

Gender

Affiliation (student, staff, faculty, or other)

FIELD STOP INQUIRY STATEMENT

All entries MUST include the date,time, and location of the incident.