Traffic Enforcement Request

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 ____________________