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Florida Department of Agriculture and Consumer Services Office of Agricultural Law Enforcement ATTEMPTED VEHICLE INTERCEPTION FORM 316.1935, F.S. ADAM H. PUTNAM COMMISSIONER Case No.: Point of Origin:

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How to fill out attempted vehicle interception form

How to fill out an attempted vehicle interception form:

01

Begin by gathering all the necessary information, including the date, time, and location of the attempted interception. Take note of any witnesses present as well.

02

In the form, provide your personal details, such as your name, contact information, and any relevant identification numbers.

03

Describe the vehicle involved in the attempted interception. Include its make, model, license plate number, and any distinguishing features.

04

Provide a detailed account of the incident, explaining the circumstances leading up to the interception, any actions taken by the perpetrator, and your response or reaction.

05

If there was any damage to your vehicle or any other property, specify the extent and provide evidence, if available (such as photographs or videos).

06

If you reported the incident to the authorities, indicate the relevant police case number or incident report number, if applicable.

07

Sign and date the form to confirm the accuracy of the information provided.

Who needs an attempted vehicle interception form?

01

Individuals who have been victims of an attempted vehicle interception may need this form. This can include people who experienced an act of road rage, an attempted carjacking, or any other incident involving the illegal stopping or blocking of their vehicle.

02

Law enforcement agencies may require this form to gather information and evidence related to the attempted interception. It can aid in their investigations and help identify patterns or suspects.

03

Insurance companies may request this form when processing a claim related to an attempted vehicle interception. It can support the insurance claim by providing specific details and documentation of the incident.

In conclusion, anyone who has experienced an attempted vehicle interception or requires information related to such incidents may need to fill out an attempted vehicle interception form. This form serves as a crucial document for individuals, law enforcement agencies, and insurance companies alike.

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