Claim Form1 by gzj14474

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									                   Greater Birmingham Highway Traffic Safety Program
       Jefferson State CommunityCollege 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 Fax (205) 856-7994
                                    Base Hourly Rate Computation Sheet*
                                                 FORM 1

                Department:
       Employee Name               Base Annual Salary           Base Weekly Rate           Base Hourly Rate**
2
2a
2b
2c
2d
2e
2f
2g
2h
2i
2j
2k
2l
2m
2n
2o


     I CERTIFY THIS TO BE AN ACCURATE AND TRUE STATEMENT OF THE CURRENT WAGES
                       BEING PAID TO THE ABOVE STATED EMPLOYEES



Authorizing Official (Chief Accounting Official Only )                     Date


*Only one of these forms needs to be completed during entire grant period. If during grant period an
employee(s) receives a raise, cost of living adjustment, promotion, or other increase in base yearly
salary, please forward an updated form along with your next reimbursement claim.



**Base hourly rate is to be calculated using your department's minimum hourly straight time work week.
                            Greater Birmingham Highway Traffic Safety Program
               Jefferson State Community College 2601 Carson Road Birmingham, Al 35215 (205) 856-7894 FAX(205) 856-7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:          0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                     Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                  Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                  Other (list):




                                                     Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                        of this is subject to funding suspension.
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:                                                Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                             subject to funding suspension.
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:                                                   Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                             subject to funding suspension.
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:                                                   Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                             subject to funding suspension.
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:                                                   Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                             subject to funding suspension.
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:                                                Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                             subject to funding suspension.
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:                                                Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                             subject to funding suspension.
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:                                                   Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                             subject to funding suspension.
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:                                                   Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                             subject to funding suspension.
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:                                                   Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                             subject to funding suspension.
                                                    Greater Birmingham Highway Traffic Safety program
                                        Jefferson state Community College 2601 Carso Rd Birmingham, Al 35215 (2050 856-7894 Fax (205) 856-7994
                                                                            Projects Reimbursement Form
                                                                                       Form 3

                Project Name or # :                                            Department:                              Period:                       To:

                        Base Hourly    OT Hourly Rate                          Total OT S+F         # OT Hours                           Pub Info &          Total Amount
      Officer's Name       Rate          Basex1.5       X Fringe Precent   =       Rate       X       Worked        +   Travel Pay   +     Educ        =      Requested

 2                                                      X                  =                  X                     +                +                 =
 2a                                                     X                  =                  X                     +                +                 =
 2b                                                     X                  =                  X                     +                +                 =
 2c                                                     X                  =                  X                     +                +                 =
 2d                                                     X                  =                  X                     +                +                 =
 2e                                                     X                  =                  X                     +                +                 =
 2f                                                     X                  =                  X                     +                +                 =
 2g                                                     X                  =                  X                     +                +                 =
 2h                                                     X                  =                  X                     +                +                 =
 2i                                                     X                  =                  X                     +                +                 =
 2j                                                     X                  =                  X                     +                +                 =
 2k                                                     X                  =                  X                     +                +                 =
 2l                                                     X                  =                  X                     +                +                 =
 2m                                                     X                  =                  X                     +                +                 =
 2n                                                     X                  =                  X                     +                +                 =
 2o                                                     X                  =               X                        +                +                 =
                                                                                 Total Hours:                           Total Amount Requested: $

          I CERTIFY THIS TO BE A TRUE AND ACCURATE STATEMENT OF OVERTIME ACTIVITIES WORKED ON GREATER BIRMINGHAM AREA
                               TRAFFIC SAFETY PROGRAM DUTIES IN ACCORDANCE WITH SIGNED AGREEMENTS.

       Authorizing Official (Chief Accounting or Chief Elected Official Only):___________________________________                                     Date:_______________



                                                                           Highway-Traffic Safety use only
Approved By:____________________________________                           Project #_________________                                            Date:____________________
                     BLITZ REPORT FORM
                            AGENCY:
                   REPORTING PERIOD:

                 CHECK-POINT ENFORCEMENT DATA
NUMBER OF CHECKPOINTS CONDUCTED
DUI ARRESTS
NO DRIVER LICENSE
DRIVING WHILE SUSPENDED/REVOKED
SAFETY BELT ARRESTS
SAFETY BELT WARNINGS
CHILD RESTRAINTS ARRESTS
CHILD RESTRAINTS WARNINGS
FELONY ARRESTS
DRUG ARRESTS
MISDEMEANOR ARRESTS
WARRANTS (FELONY/MISC)
SCHOOL ZONE VIOLATION ARRESTS
OTHER ARRESTS
NO PROOF OF INSURANCES
OTHER WARNINGS
OTHER (List)

                       EDUCATION DATA
NUMBER OF SAFETY TALKS
ATTENDANCE
NUMBER OF MEDIA CONTACTS

                    PATROL ENFORCEMENT DATA
DUI ARRESTS
SPEEDING ARRESTS
FOLLOWING TOO CLOSE ARRESTS
FAILURE TO YIELD RIGHT OF WAY
IMPROPER/FAILURE TO SIGNAL ARREST
IMPROPER LANE CHANGE/USAGE ARREST
SAFETY BELT ARREST
SAFETY BELT WARNING
CHILD RESTRAINTS ARRESTS
CHILD RESTRAINTS WARNINGS
MOTORIST ASSISTS/SERVICES
FELONY W/ ARRESTS
MISDEMEANOR W/ ARRESTS
OTHER ARRESTS
OTHER WARNINGS
NO PROOF OF INSURANCE
SCHOOL LAW VIOLATION
CRASHES INVESTIGATIONS
OTHER (List)
                                                  Greater Birmingham Highway Traffic Safety program
                                      Jefferson State Community College 2601 Carson Rd birmingham, Al 35215 (205) 856-7894 Fax (205) 856-7994
                                                                                Roll Up Form 4

Department:                                                          Beginning Date:                                         End Date:

                                                                                                                             C/P
          ADMINISTRATIVE                                  CITATIONS                          WARNINGS              ARREST    HR
  Officer   ENF EDU      ADM OT              CH SP    S       SCH FUG VEH MOV EQU        CH SP    INS MOV EQU     DR MIS FEL
  Name      HRS HRS      HRS TL S/B          RS ED DL REV INS LAW CT REC VIO VIO OTH S/B RS ED DL VIO VIO VIO DUI UG ARR ARR
2
2a
2b
2c
2d
2e
2f
2g
2h
2i
2j
2k
2l
2m
2n
2o
     TOTAL
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:                                                    Department:
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:                                                Department:
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:                                                   Department:
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:                                                   Department:
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:                                                   Department:
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:                                                Department:
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:                                                Department:
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:                                                   Department:
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:                                                   Department:
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:                                                   Department:
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:           0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:           0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:           0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:           0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:           0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-9


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:           0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:           0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:           0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:           0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:           0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-1


Officer Name:         0                                          Department:           0
Hours worked:                      am/pm to:                     am/pm           Total Hours=                      Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                     Drug Arrests:
Warrant/Misd:                                                    Warrant/Felony:
S/Belt:                                                          Child Rest:
Speed:                                                           DL/Vio:
S/Rev:                                                           Insurance Vio:
School Laws:                                                     Fugitives Caught:
Vehicles Recov:                                                  Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                          C/Rest:
Speed:                                                           DL/Vio:
Insurance Vio:                                                   Moving Violation:
Equipment Vio:                                                   Other (number):                   Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                                  Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                     Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-2


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-3


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-4


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-5


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-6


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                           Greater Birmingham Highway Trafffic Safety Program
                  Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                          Contact Report
                                                            Form 2-7


Officer Name:        0                                       Department:           0
Hours worked:                    am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                        Arrests/Citations
DUI Arrests:                                                 Drug Arrests:
Warrant/Misd:                                                Warrant/Felony:
S/Belt:                                                      Child Rest:
Speed:                                                       DL/Vio:
S/Rev:                                                       Insurance Vio:
School Laws:                                                 Fugitives Caught:
Vehicles Recov:                                              Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):
Dept Emphasis:


                                                        Written Warnings
S/Belt:                                                      C/Rest:
Speed:                                                       DL/Vio:
Insurance Vio:                                               Moving Violation:
Equipment Vio:                                               Other (number):                     Other (list):




                                                      Educational Contacts
Type of organization, event, or program:


Number present:                                              Age group:
Educational Material:
Total Hours:


                                Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                 Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-8


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-9


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
S/Belt:                                                         C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                              Greater Birmingham Highway Trafffic Safety Program
                     Jefferson State Community College 2601 Carson Rd Birmingham, Al 35215 (205) 856-7894 fax (205) 7994
                                                             Contact Report
                                                               Form 2-10


Officer Name:         0                                         Department:           0
Hours worked:                       am/pm to:                   am/pm           Total Hours=                               Date:
Shift Location:


                                                           Arrests/Citations
DUI Arrests:                                                    Drug Arrests:
Warrant/Misd:                                                   Warrant/Felony:
S/Belt:                                                         Child Rest:
Speed:                                                          DL/Vio:
S/Rev:                                                          Insurance Vio:
School Laws:                                                    Fugitives Caught:
Vehicles Recov:                                                 Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):
Dept Emphasis:


                                                           Written Warnings
0                                                               C/Rest:
Speed:                                                          DL/Vio:
Insurance Vio:                                                  Moving Violation:
Equipment Vio:                                                  Other (number):                     Other (list):




                                                         Educational Contacts
Type of organization, event, or program:


Number present:                                                 Age group:
Educational Material:
Total Hours:


                                   Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                    Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                          Regional Planning Commission of Greater Birmingham
                  1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                         Contact Report
                                                           Form 2-1


Officer Name:        0                                         Department:          0
Hours worked:                     am/pm to:                    am/pm           Total Hours=                     Date:
Shift Location:


                                                       Arrests/Citations
DUI Arrests:                                                   Drug Arrests:
Warrant/Misd:                                                  Warrant/Felony:
S/Belt:                                                        Child Rest:
Speed:                                                         DL/Vio:
S/Rev:                                                         Insurance Vio:
School Laws:                                                   Fugitives Caught:
Vehicles Recov:                                                Moving Violation:
Equipment Vio:                                                 Other (number):                  Other (list):
Dept Emphasis:


                                                      Written Warnings
S/Belt:                                                        C/Rest:
Speed:                                                         DL/Vio:
Insurance Vio:                                                 Moving Violation:
Equipment Vio:                                                 Other (number):                  Other (list):




                                                    Educational Contacts
Type of organization, event, or program:


Number present:                                                Age group:
Educational Material:
Total Hours:


                               Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-2


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-3


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-4


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-5


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-6


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-7


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-8


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-9


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-10


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
0                                                             C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                          Regional Planning Commission of Greater Birmingham
                  1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                         Contact Report
                                                           Form 2-1


Officer Name:        0                                         Department:          0
Hours worked:                     am/pm to:                    am/pm           Total Hours=                     Date:
Shift Location:


                                                       Arrests/Citations
DUI Arrests:                                                   Drug Arrests:
Warrant/Misd:                                                  Warrant/Felony:
S/Belt:                                                        Child Rest:
Speed:                                                         DL/Vio:
S/Rev:                                                         Insurance Vio:
School Laws:                                                   Fugitives Caught:
Vehicles Recov:                                                Moving Violation:
Equipment Vio:                                                 Other (number):                  Other (list):
Dept Emphasis:


                                                      Written Warnings
S/Belt:                                                        C/Rest:
Speed:                                                         DL/Vio:
Insurance Vio:                                                 Moving Violation:
Equipment Vio:                                                 Other (number):                  Other (list):




                                                    Educational Contacts
Type of organization, event, or program:


Number present:                                                Age group:
Educational Material:
Total Hours:


                               Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-2


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-3


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-4


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-5


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-6


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-7


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-8


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-9


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-10


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
0                                                             C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                          Regional Planning Commission of Greater Birmingham
                  1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                         Contact Report
                                                           Form 2-1


Officer Name:        0                                         Department:          0
Hours worked:                     am/pm to:                    am/pm           Total Hours=                     Date:
Shift Location:


                                                       Arrests/Citations
DUI Arrests:                                                   Drug Arrests:
Warrant/Misd:                                                  Warrant/Felony:
S/Belt:                                                        Child Rest:
Speed:                                                         DL/Vio:
S/Rev:                                                         Insurance Vio:
School Laws:                                                   Fugitives Caught:
Vehicles Recov:                                                Moving Violation:
Equipment Vio:                                                 Other (number):                  Other (list):
Dept Emphasis:


                                                      Written Warnings
S/Belt:                                                        C/Rest:
Speed:                                                         DL/Vio:
Insurance Vio:                                                 Moving Violation:
Equipment Vio:                                                 Other (number):                  Other (list):




                                                    Educational Contacts
Type of organization, event, or program:


Number present:                                                Age group:
Educational Material:
Total Hours:


                               Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

  ***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those
 contacts which are made during actual overtime on this project may be counted. Any department found in violation
                                           of this is subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-2


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-3


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-4


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-5


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-6


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-7


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-8


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-9


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
S/Belt:                                                       C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus
                            Regional Planning Commission of Greater Birmingham
                     1731 1st Avenue North-Suite 200 Birmingham, Alabama 35203 Phone (205)251-8139 Fax (205)328-3304
                                                            Contact Report
                                                              Form 2-10


Officer Name:         0                                       Department:           0
Hours worked:                      am/pm to:                  am/pm           Total Hours=                             Date:
Shift Location:


                                                          Arrests/Citations
DUI Arrests:                                                  Drug Arrests:
Warrant/Misd:                                                 Warrant/Felony:
S/Belt:                                                       Child Rest:
Speed:                                                        DL/Vio:
S/Rev:                                                        Insurance Vio:
School Laws:                                                  Fugitives Caught:
Vehicles Recov:                                               Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):
Dept Emphasis:


                                                         Written Warnings
0                                                             C/Rest:
Speed:                                                        DL/Vio:
Insurance Vio:                                                Moving Violation:
Equipment Vio:                                                Other (number):                    Other (list):




                                                       Educational Contacts
Type of organization, event, or program:


Number present:                                               Age group:
Educational Material:
Total Hours:


                                  Other Contacts (motorist assists, truck inspections, etc)
Type contact:
Disposition of contact:


I certify this to be a true and accurate record of Higway-Traffic overtime worked.
Officer Signature:                                                                  Date:

***A contact report for each shift worked must accompany each officers reimbursement statement. ONLY those contacts
   which are made during actual overtime on this project may be counted. Any department found in violation of this is
                                                  subject to funding sus

								
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