Driver Condition or Behavior Report Form (MV3141)
This form is only transmitted to DOT. Never mail this report along with transmitting it.
Wisconsin Driver Condition or Behavior Report (MV3141)
This report is owned by the DMV Medical Review Unit
Transmittable to the DMV via email
Form Design
The Drivers Condition Form contains the following groups:
Document
Driver
Summary
Law Enforcement Agency
Attachment
How to:
Document Group
Each Driver Condition form contains one Document group. The fields within the group are shown in the figure below.
Driver Group
Each Driver Condition form contains one Driver group. The fields within the group are shown in the figure below.
Summary Group
Each Driver Condition form contains one Summary group. The fields within the group are shown in the figure below.
Narrative field – Type any concerning witnessed behaviors with specific examples to indicate the concern/cause for the report. This is free form. Be as specific as possible. This is a required field and must be filled in completely. Do not enter text that references comments or narratives in an associated form. Fill the field in with the complete narrative. Use copy and paste if the text of the narrative is available from another resource or form. The Crash form itself is a separate document that is not accessible to the Medical Review Section. Please do not include in the narrative references to the Crash form. Instead, explicitly list all behavior/condition issues in the narrative of the Driver Condition/Behavior form. Max is 2000 characters.
Agency Group
Each TraCS form contains one Law Enforcement Agency group. The fields within the group are shown in the figure below. The Agency Space field is 200 characters. The fields within the group are shown in the figure below.
NOTE: The Officer mobile phone and officer fax fields were added in Fall 2023
In Fall 2023 an attempt was made to fix the issue where other another person information is entered into this section.
In March 2024 the fix was finalized to fix DOT officer ID’s in lower case.
Agency Space
Space for law enforcement officer to collect any info they want. This field is available for your agency’s use. They will instruct you how to use it.
Officer Rank
The Rank of the officer completing the report.
Officer Last Name
The last name of the officer completing the report.
Officer First Name
The first name of the officer completing the report.
Officer Middle Name
The middle name of the officer completing the report.
Suffix
The preferred suffix of the officer completing the report.
DOT Officer ID
The reporting officer ID number. This number is sent to the DOT and Courts and is used to uniquely identify the officer.
DNR Officer ID
The reporting officer DNR ID number. Unless the officer works for the DNR, this 9 digit number is the same for the agency the officer works for.
Officer Badge Number
The Badge Number of the officer completing the report. This number can change in the agency.
Officer EMail
The email of the officer completing the report.
Officer Phone Number
The cell phone number of the officer completing the report (Added Fall 2023)
Used for Fatal notification and Ambulance Inspection Reports
Officer Fax Number
The fax number of the officer completing the report (Added Fall 2023)
Used for Ambulance Inspection Reports
Local Agency Number
Identifying number for the law enforcement agency that reported.
Law Enforcement Agency Jurisdiction
The jurisdiction of the enforcement agency that reported.
Law Enforcement Agency Type
The jurisdiction of the enforcement agency that reported.
State Patrol
County Sheriff
City Police
Village police
Town Police
Tribal
Other
Law Enforcement Agency Name
The name of the enforcement agency that reported.
TAS Agency Name
The TraCS name of the enforcement agency that reported.
Law Enforcement Agency Street Address
The current street address of the law enforcement agency responding to the scene.
Law Enforcement Agency Street Address2
The current street address of the law enforcement agency responding to the scene.
Law Enforcement Agency City
The current city where the law enforcement agency responding resides.
LEA State
The current state where the law enforcement agency responding resides.
Law Enforcement Agency ZIP Code
The current ZIP code where the law enforcement agency responding resides.
Law Enforcement Agency Phone Number
The telephone number of the law enforcement agency reporting.
ORI Number
9 digit NCIC number assigned to the enforcement agency by the Department of Justice.
BFUNC Agency
The ID number that uniquely identifies a law enforcement agency in Wisconsin that reported.
TraCS Agency Number
The 3 digit TraCS ID of the enforcement agency that reported.
Attachment Group
Each form contains one or more Attachment Groups. The fields within the group are shown in the figure below. Depending on the policies of your agency, you may attach files to your report. Not all agencies use attachments.
Attached File -In the Databar choose
File - to choose the file to attach.
File Upload - To attach a file link and upload the attachment to a central server. The file is encrypted and will be unavailable to view except through TraCS.
Bar Code Imager - To import an image from the bar code scanner. (needs IT to set up.)
Scanner - To import from a scanner attached to the computer.
File Link - To attach a file link. The file will be saved in a common TraCS attachment directory.
File Name - Enter the file name, this field is automatically generated if blank from eh attached file name.
Agency Space - Enter any miscellaneous comments to include.
Documents
How to Add or Delete a Group
Attachments 101
Attachments in the Hosted Environment
Law enforcement agencies will not be able to use embedded attachments (storing attachments in the database) in the Badger TraCS Hosted Environment but will be able to use file upload (files saved outside of the database on a file server). The file upload attachments are limited to 2MB in size with the form and will reside on the Badger TraCS Hosted Environment Server as encrypted files. If Law enforcement doesn’t want to use the file upload option, they can store all their attachments on their own server, PC or workstation, using File Link.
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