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Survey/Form Review
Traffic Concern
Neighborhood Traffic Concern Form

If emergency - STOP - call 9-1-1 now instead of completing this form.


Your tips will be reviewed by our Traffic Section. Please do not use this form if you need immediate assistance. Please be as detailed as possible about the incident including why you believe it is a danger to the neighborhood. Thank you!
Neighborhood Traffic Concern (Please be as Detailed as Possible):

Date when Incident Occured:
If you are unsure of exactly when the crime incident occurred, please list the dates which the crime or incident occurred between (Example: 08/01/09 to 8/11/09).
Time of Incident:
If you are unsure of exactly when the crime or incident occurred, please list the time of day when crime or incident occurred between (Example: 8:00am - 5:00pm).
Address/Area of Concern:

Vehicle Descriptors (Make/Model/Color):

Vehicle License Plate (If Applicable):

Your Email Address:

Your Name:

Your Phone Number:

Your Address (Optional):