Washington State Patrol - Field Operations Bureau

Washington State Patrol title head Loss/Escape of Load Report Form

If you have any problems using this form, please see our Forms Help file.

Optional Information

Name (optional):

Address (optional):

Phone (optional):

E-Mail (optional):

Required information

Choose one option: [reference RCW 42.56.240 (2) ]

Please withhold my name on any publicly disclosed documents that result from this complaint.

You may reveal my name on any publicly disclosed documents that result from this complaint.

Location of Incident:
(include direction traveled, name of the state route, interstate or city/county road, as well as any cross street, or milepost)

Description of Vehicle:
(make, model, license plate numbers of the Truck/Tractor and Company name, if possible.(click here to view different types of trucks and cargo configurations )

Time of Day:
(Morning, Afternoon, Night)

Number of times observed:
(days, weeks, months, years)

Brief description of activities observed:


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