2. Your Name*
4. Location of Traffic Complaint
6. Neighborhood*
8. Address*
10. City
11. State
12. Zip Code
14. Time When Problem is Most Often Noted*
    Time When Problem is Most Often Noted Start Time

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    Time When Problem is Most Often Noted End Time
16. Phone Number*
    In case additional information is required
18. Email*
    In case additional information is required
20. Details*
    Please include as much information as possible so that a complete investigation of the incident may occur.
22. Please note that failure to provide complete information on this form may result in our inability to take action on your complaint. Anonymous traffic complaints will not be assigned for follow up. Traffic complaints will be handled in the order in which they are received, and based on the seriousness of the concern reported.
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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