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MCO P1100.73B.pdf - Marine Corps

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NONTRAFFIC ARREST FORM<br />

This form is to be utilized if you were charged with and/or convicted of<br />

any alcohol related traffic offense or any other nontraffic arrest no<br />

matter how minor. Answer the following questions then write a concise<br />

statement addressing the incident.<br />

Month and year of violation _______________________________________<br />

Place where violation occurred ____________________________________<br />

Original charge ___________________________________________________<br />

Charge to which convicted or<br />

to which guilty plea was entered __________________________________<br />

Penalty, fine, or other disposition________________________________<br />

APPLICANT’S STATEMENT ADDRESSING THE CIRCUMSTANCES SURROUNDING THIS<br />

INCIDENT. USE ADDITIONAL SHEETS, IF NECESSARY.<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

_______________________________________________________________________<br />

Figure 2-26.--Nontraffic Arrest Form.<br />

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