TPD form 310 “Consent and Release”
Please fill out the highlighted box on page 1 of the form. Print, sign and date the bottom of page 1 leaving the officer section blank. On page 2 of the form, please fill out the top portion and write out your statement describing in your own words what happened. Print, sign and date page 2 as well. Disregard the notary line. Scan and upload the form when directed in the online reporting system.
Please print the document and sign your acknowledgment of the instructions. Scan and upload the form when directed in the online reporting system.