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2. Primary Officer: *
   -- Select One --DykesHetlerJohnsonGochalOliverParisStrube
3. 
   
5. Date:*
7. Shift:*
   -- Select One --D1D2N1N2TrafficK-9(Other)
8. Bike #:*
   -- Select One --123456Other
10. 
    
12. Hours:*
14. Mileage:
16. 
    
18. Primary area of enforcement:

    (Here you can enter multiple addresses, a district, specific area/address, etc.)
20. 
    
22. Individual Contacts:*
24. Traffic Contacts:*
26. 
    
28. Comments:
30. Upload file of your patrol (i.e. Strava, MapMyRide, Etc)
32. 
    
34. Add Officer(s) to your patrol
36. Add Officer:
    -- Select One -- DykesHetlerJohnsonGochalOliverParisStrube
38. Add Officer:
    -- Select One --DykesHetlerJohnsonGochalOliverParisStrube
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

* indicates a required field