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Washington State Patrol title head Aggressive Driving Problem Area Report Form

If you have any problems using this form, please see our Forms Help file.

Optional Information

Name (optional):

Address (optional):

Phone (optional):

E-Mail (optional):


Required information

Choose one option: [reference RCW 42.17.310(1)(e) ]

Location of Concern:
(include direction traveled, name of the state route, interstate or city/county road, as well as any cross street, or milepost)


Description of vehicles seen:
(make, model, and license plate numbers of each, if possible)


Brief description of activities observed:


Number of times observed:
(days, weeks, months, years)

  

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