Name: Address: City, State, ZIP Email: Telephone: How would you like to be contacted regarding this matter? Phone Email Do not contact me This incident occurred on: Date: Time: Location: License plate # of vehicle: General nature of incident: Courteous Driver Electronic Device Use Illegal Lane Change Illegal Parking Moving Violation Operator Conduct Personal Use Reckless Driving Speeding Tailgating Ticket Describe what happened: The Division of Fleet Operations would like to take this opportunity to apologize for any inappropriate action or use of a state vehicle by our drivers. Because the safety and well-being of the citizens of Utah and the visitors to our State is very important to us, we take all complaints seriously. All complaints are thoroughly investigated and may result in the driver attending additional driver's training or, when necessary, disciplinary action will be taken. Thank you for your assistance in our continuing efforts to keep Utah's roadways safe.