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2. Type of Report
   -- Select One --Drug Activity Gang ActivityViolationWebsite ProblemsTraffic SignalsStreet LightsTraffic Signs

   Which type of problem or activity are you reporting? Please choose one.

4. Your Contact Information
   Please share your contact information and detailed information about the activity or problem.
6. First Name
7. Last Name
9. Address1
11. Address2
13. City
14. State
15. Zip
17. Home Phone
18. Cell Phone
19. Email
21. Question, Comment, or Complaint: (please submit detailed information about the activity)
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