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Have an alcohol citation completed then click the Replicate button to open an Influence form. Some fields from the citation will auto populate the Influence form. There’s an Interrogation Report available for printing at any time. The form can be deleted at any time.
This form is owned by Department of State Patrol Chemical Test Unit
Email to chemtest@dot.wi.gov
The Influence form is printed and isn’t transmitted outside agencies. The form may be transmitted to get into Records Management Systems (RMS) if configured. This form is owned by Department of State Patrol Chemical Test Unit
The Alcohol Influence form contains 7 groups:
Document
Violator
Opinions
Pre-Interrogation
Individual
Questions
Law Enforcement Agency
Attachment
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Each Influence form contains one Document group. The fields within the group are shown in the figure below. The Date Reported field is the date the influence form was filled out.
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Individual Group
Each Influence form contains one Violator Individual group. The fields within the group are shown in the figure below. The Date and time fields along with the Citation number field will have auto populated if the replicate feature was used.
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Each Influence form contains one Opinions group. The fields within the group are shown in the figure below.
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Questions Group
Each Influence form contains one Pre-Interrogation Questions group. The fields within the group are shown in the figure below.
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Comments Group
Each Influence form contains one Questions group. The fields within the group are shown in the figure below.
The question section consists of fields, which are text or drop-down lists. Each drop down list has Yes, No or See Comments. If See Comments is selected, the officer will add the violator response to the question in the Comments section at the bottom of the Influence form. If No is selected, all fields related to that field will gray out. To enable a grayed-out field, select Yes instead of No.
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The following fields can use a dropdown list or manual enter text using the OTHER option.
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Law Enforcement Agency Group
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