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2. This form is provided so you may report a hazardous or dangerous driving condition, such as frequent speeding on your street, drivers running stop signs or parking problems (such as illegal parking). Complaints will be reviewed and investigated. If you would like to be contacted by the investigating officer, please check the appropriate box at the bottom of this form.
   Please note that this form is not intended to field complaints about traffic volume.
4. Full Name
6. Your Address
8. Daytime Phone
9. Evening Phone
10. Email Address
12. Location of Problem
    (Address or Intersection)
13. Type of Problem

    1. Parking
    2. Speeding

    1. Stop Sign
    2. Other
15. Description of Problem
17. Day of Week and Time of Day Problem is Occurring
21. Follow-Up Request

    1. I would like a follow-up call regarding this issue.
    2. I would like a follow-up email regarding this issue.
    3. I don't need a call or an email back, I would just like the problem taken care of.
Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field