Skip Top Navigation

HERO Program Report Violation Form

Please be advised that any correspondence with a state agency, including e-mail, is a public record that may be disclosed under Washington's Public Disclosure Act. For more information, please consult our privacy policy.

Fields marked with a red * asterisk are required.

Vehicle information

License Number: *
State: *
Make:
Model:
Color:


Violation information

Number of occupants:
Time of Violation: :
Date of Violation: ,
Highway Direction / Ferry Terminal: *
Location: *
Observed on ramp?
Comments:


Privacy Policy