STEP Mobilizations Data Collection

Local/State Mobilizations Data Collection

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FOR INSTRUCTIONS AND EXAMPLES ON PROPERLY COMPLETING YOUR DATA COLLECTION FORM, PLEASE CONTACT THE EVALUATION UNIT AT (217) 782-1805.

** THIS FORM MUST BE SUBMITTED BEFORE YOUR CLAIM FOR REIMBURSEMENT. **

Section I: All Projects Please indicate the campaign you are reporting data for: Halloween Campaign Thanksgiving Campaign Christmas/New Year’s Campaign Super Bowl Campaign St. Patrick’s Day Campaign Memorial Campaign Independence Day Campaign Labor Day Campaign eLAP Additional Enforcement Other Dates Enforcement Conducted: // To // Month / Day / Year Month / Day / Year Reporting agency: Project number: Name of person submitting this report: Phone: E-mail address:

Section II: Alcohol Mobilization Campaigns Only Alcohol-Related Activities Completed For This Campaign:

NIGHTTIME Alcohol Enforcement Activities (9PM – 6AM) Total project officer-hours worked by this agency during the campaign: Total Hours Worked: hours Specifically on Roadside Safety Checks: hours Specifically on Saturation Patrols: hours DUI Processing Hours: hours Actual Patrol: hours Number of Vehicles Stopped: (N/A for Roadside Safety Checks)

Number of enforcement details conducted: (indicate the number conducted for each type of detail) Number of Details Conducted:

Joint with Local Stand Alone Joint with ISP Agency Saturation Patrols Roadside Safety Check Roadside Safety Check Roadside Safety Check

Printed 12/3/2017 Page 1 of 4 BSPE 205 (Rev. 10/10/17) Formerly TS 205 Seat Belt Enforcement Activities Completed For This Campaign: Section III: Occupant Protection Mobilization Campaigns Only

DAYTIME Seat Belt and Speed Enforcement Activities (6AM – 9PM)

Total project officer hours worked by this agency during the campaign specifically on Seat Belt Enforcement:

Total Hours Worked: hours Specifically on Daytime Seat Belt Enforcement Zones: hours Specifically on Daytime Saturation Patrols: hours DUI Processing: hours

Actual Patrol: hours Number of enforcement details conducted: (indicate the number conducted throughout the specified campaign for each type of detail) Number of Seat Belt Zones: Number of Saturation Patrols: Number of Vehicles Stopped:

Section IV: Occupant Protection Mobilization Campaigns Only

NIGHTTIME Seat Belt and Speed Enforcement Activities (9PM – 6AM)

Total project officer hours worked by this agency during the campaign specifically on Seat Belt Enforcement:

Total Hours Worked: hours

Specifically on Nighttime Seat Belt Enforcement Zones: hours Specifically on Nighttime Saturation Patrols: hours DUI Processing: hours Actual Patrol: hours Number of enforcement details conducted: (indicate the number conducted throughout the specified campaign for each type of detail) Number of Seat Belt Zones: Number of Saturation Patrols: Number of Vehicles Stopped:

Printed 12/3/2017 Page 2 of 4 BSPE 205 (Rev. 10/10/17) Formerly TS 205 Section V: All Projects DO NOT INCLUDE WRITTEN WARNINGS Total number of specific enforcement actions taken this reporting period: List below the total number of citations written/enforcement actions taken during the daytime and nighttime for this campaign. Daytime is 6:00AM – 9:00PM and Nighttime is 9:00PM – 6:00AM.

Seat Belt Seat Belt Stolen Car Seat DUI Arrests Citations Citations Felony Arrests Vehicles Citations (Front Seat) (Back Seat) Recovered N i Day Night Day Night Day Night Day Night Day g Day Night h t

Suspended / Fugitives Uninsured Reckless Revoked Speeding Drug Arrests Apprehended Motorists Driving Licenses N i Day Night Day Night Day Night Day Night Day g Day Night h t

Distracted Driving Other

Day Night Day Night

Distracted Driving *No cell phone (except handsfree) 625ILCS 5/12-610.2 No texting 625ILCS 5/12-610.2 Cell phone in school/work zones 625ILCS 5/12-610.1 Aggravated crash device usage 625ILCS 5/12-604.1(a-5)

Media Efforts:

List the number of media efforts for the campaign specified above.

Announceme Press nts signs, Banners Posters / Fliers Presentations Press Releases marquees, Displayed Distributed Given Conferences Issued etc.

Print News Public Access Radio News TV News Web Other Stories Messages Stories Stories Announcement

Printed 12/3/2017 Page 3 of 4 BSPE 205 (Rev. 10/10/17) Formerly TS 205 DUI Arrests: BAC levels

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

11. 12. 13. 14. 15. 16. 17. 18. 19. 20.

21. 22. 23. 24. 25. 26. 27. 28. 29. 30.

31. 32. 33. 34. 35. 36. 37. 38. 39. 40.

Zero Tolerance: BAC levels

1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Total DUI Processing Time:

Regular Non-Overtime Patrol: Other Moving Other Alcohol Speeding DUI Seat Belt Child Restraint Violations Related

Written Warnings:

Seat Belt Child Restraint Total

Additional Comments/Notes:

Certification: By signing this report (or payment request), I certify to the best of my knowledge and belief that the report (or payment request) is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal or State award. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812).

(Grantee Authorizing Representative) (Date)

(Type or Print Name of Authorizing Representative) (Date)

Printed 12/3/2017 Page 4 of 4 BSPE 205 (Rev. 10/10/17) Formerly TS 205