Forms • Action Request

What is the nature of your request?*

	Speeding
	Street Lights
	Suspicious Vehicle/Person
	Traffic Complaint (not speeding)
	Vandalism
	Other (explain)

What is the location of the problem? Please give an address and specific identifiers for the location.*

Is there a specific day of the week or time of day when the problem occurs?

Details of the situation.*

Your name*

Your address*

City*

State*

Zip Code*

Contact number-please provide the best phone number for us to contact you.*

May we contact you by email? (please provide an email address)

* indicates required fields.