Copy of Privacy Act of 1974

Email Address of the person you have encountered {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

THIS IS AN EXAMPLE (NOT ACTUAL COMPLETE FORM)

Your behavior and actions have demonstrated that you have a desire to ask me questions with some false expectation which I am under some obligation to respond.

Under the United States Constitution Bill of Rights, the 5th Amendment protects that I can refrain from speech and remain silent. The 4th amendment also provides the security of my person, papers, property and affects.

It is suggested that you comply with the Constitution of the United States and the Public Law 93-579. Non-compliance of honoring an oath would not be a reasonable action.

If you desire to continue to ask questions, I respectully request those questions to be written down, so I can review with my attorney and determine appropriate steps in accordance with the law.

If you choose not to write down your questions, I will attempt to respectfully inform you that this encounter is not consensual. I will request that you comply with the law and disengage from conduct which a reasonable person would consider, intimidating, harassing and disruptive.

Please do not violate the law, infringe upon my rights and be subject to lawful remedies for your misconduct under Color of Law as expressed in 18 USC 1983.

Full Name of Public Servant {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Todays Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Approximate Time {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Identification number, badge numer, employee id, etc. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

No ID number provided, provide Drivers License # {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

If call for service (provide incident number) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

Copy of Privacy Act of 1974

Email Address of the person you have encountered {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

THIS IS AN EXAMPLE (NOT ACTUAL COMPLETE FORM)

Your behavior and actions have demonstrated that you have a desire to ask me questions with some false expectation which I am under some obligation to respond.

Under the United States Constitution Bill of Rights, the 5th Amendment protects that I can refrain from speech and remain silent. The 4th amendment also provides the security of my person, papers, property and affects.

It is suggested that you comply with the Constitution of the United States and the Public Law 93-579. Non-compliance of honoring an oath would not be a reasonable action.

If you desire to continue to ask questions, I respectully request those questions to be written down, so I can review with my attorney and determine appropriate steps in accordance with the law.

If you choose not to write down your questions, I will attempt to respectfully inform you that this encounter is not consensual. I will request that you comply with the law and disengage from conduct which a reasonable person would consider, intimidating, harassing and disruptive.

Please do not violate the law, infringe upon my rights and be subject to lawful remedies for your misconduct under Color of Law as expressed in 18 USC 1983.

Full Name of Public Servant {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Todays Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Approximate Time {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Identification number, badge numer, employee id, etc. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

No ID number provided, provide Drivers License # {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If call for service (provide incident number) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Copy of Privacy Act of 1974

Email Address of the person you have encountered {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

THIS IS AN EXAMPLE (NOT ACTUAL COMPLETE FORM)

Your behavior and actions have demonstrated that you have a desire to ask me questions with some false expectation which I am under some obligation to respond.

Under the United States Constitution Bill of Rights, the 5th Amendment protects that I can refrain from speech and remain silent. The 4th amendment also provides the security of my person, papers, property and affects.

It is suggested that you comply with the Constitution of the United States and the Public Law 93-579. Non-compliance of honoring an oath would not be a reasonable action.

If you desire to continue to ask questions, I respectully request those questions to be written down, so I can review with my attorney and determine appropriate steps in accordance with the law.

If you choose not to write down your questions, I will attempt to respectfully inform you that this encounter is not consensual. I will request that you comply with the law and disengage from conduct which a reasonable person would consider, intimidating, harassing and disruptive.

Please do not violate the law, infringe upon my rights and be subject to lawful remedies for your misconduct under Color of Law as expressed in 18 USC 1983.

Full Name of Public Servant {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Todays Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Approximate Time {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Identification number, badge numer, employee id, etc. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

No ID number provided, provide Drivers License # {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

If call for service (provide incident number) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

Copy of Privacy Act of 1974

THIS IS AN EXAMPLE (NOT ACTUAL COMPLETE FORM)

Your behavior and actions have demonstrated that you have a desire to ask me questions with some false expectation which I am under some obligation to respond.

Under the United States Constitution Bill of Rights, the 5th Amendment protects that I can refrain from speech and remain silent. The 4th amendment also provides the security of my person, papers, property and affects.

If you desire to continue to ask questions, I respectully request those questions to be written down, so I can review with my attorney and determine appropriate steps in accordance with the law.

If you choose not to write down your questions, I will attempt to respectfully inform you that this encounter is not consensual. I will request that you comply with the law and disengage from conduct which a reasonable person would consider, intimidating, harassing and disruptive.

Please do not violate the law, infringe upon my rights and be subject to lawful remedies for your misconduct under Color of Law as expressed in 18 USC 1983.

Copy of Privacy Act of 1974

THIS IS AN EXAMPLE (NOT ACTUAL COMPLETE FORM)

Your behavior and actions have demonstrated that you have a desire to ask me questions with some false expectation which I am under some obligation to respond.

Under the United States Constitution Bill of Rights, the 5th Amendment protects that I can refrain from speech and remain silent. The 4th amendment also provides the security of my person, papers, property and affects.

If you desire to continue to ask questions, I respectully request those questions to be written down, so I can review with my attorney and determine appropriate steps in accordance with the law.

If you choose not to write down your questions, I will attempt to respectfully inform you that this encounter is not consensual. I will request that you comply with the law and disengage from conduct which a reasonable person would consider, intimidating, harassing and disruptive.

Please do not violate the law, infringe upon my rights and be subject to lawful remedies for your misconduct under Color of Law as expressed in 18 USC 1983.

Copy of Privacy Act of 1974

THIS IS AN EXAMPLE (NOT ACTUAL COMPLETE FORM)

Your behavior and actions have demonstrated that you have a desire to ask me questions with some false expectation which I am under some obligation to respond.

Under the United States Constitution Bill of Rights, the 5th Amendment protects that I can refrain from speech and remain silent. The 4th amendment also provides the security of my person, papers, property and affects.

If you desire to continue to ask questions, I respectully request those questions to be written down, so I can review with my attorney and determine appropriate steps in accordance with the law.

If you choose not to write down your questions, I will attempt to respectfully inform you that this encounter is not consensual. I will request that you comply with the law and disengage from conduct which a reasonable person would consider, intimidating, harassing and disruptive.

Please do not violate the law, infringe upon my rights and be subject to lawful remedies for your misconduct under Color of Law as expressed in 18 USC 1983.

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