PDF Version of Traffic Enforcement Request Form
Please use this form to notify the Police Department of a traffic concern or problem.
Date Location of Problem Time Occurring (Be Specific) Type of Problem (i.e., Speeding, Stop Sign/Signal Violation, Other) Requesting Person:
Full Name Address
Phone (Home) Phone (Work) Email Address
Additonal Information (Include all pertinent information or simply state "None") Office Use Only: Date Received ________________ Time ______ Received By ____________________