Traffic Concern Form

(Traffic related only please)

We are concerned about traffic offenses that reduce the quality of life in our community and appreciate your assistance in reporting them.  Your situation will be investigated and our department will determine the proper resource to properly resolve any issues.  Please do not use this form to report a collision or hit and run incident. The non-emergency phone number for Police is 425-556-2500.

Traffic Concern Form

 

Reporting Party Information

Last Name:First Name:
Address: 

      
City:  Redmond      State:  WA       Zip:  98052

Email:Home Phone:
Work Phone:
 Cell Phone:

Traffic Concern Information

Occurrence Date:Occurrence Time (range of times):
Location: 
Reoccurring Problem?Yes   No
If yes, how frequent? 
Can a Traffic Officer contact you?Yes   No
If yes, when? 
 

Suspect vehicle information (if any)

Make: Model:  Year:  
Color:License:State:  
      
What is your concern?   



Security Measure