2. Before filling out the complaint area, verify the following is true. If you cannot check both boxes, do not complete the form.
4. This is an ongoing traffic issue, not an isolated incident.*

   1. Yes

   1. No
5. This complaint is for traffic violation issues, not road issues such as red light times, requesting different signs, speed limit changes, etc.*

   1. Yes

   1. No
7. Date*
   Date
8. Name of Individual/Firm Making Request*
9. Address*
11. City*
12. State*
13. Zip Code*
15. Email Address
16. Nature of Traffic Complaint*
    Please include a detailed location and which days and times the issue is occurring.
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field