Influence Form

Influence is the Alcohol/Drug influence report, eSP4005

Not Transmittable
Printable only
Owned by Department of State Patrol Chemical Test Unit
Email to chemtest@dot.wi.gov

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.

The Influence form contains these groups:

Document
Individual
Questions
Law Enforcement Agency
Attachment

How to:

Change a document number

Other Resources

Agency Tables associated with form

Tags Table

Document Group

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.

Individual Group

Each Influence form contains one 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.