report not my first report
(here are all the reports)
(this is all optional. Enter nothing and your report
will be anonymous, which is fine by me)
Add me to the Miller E-mail list for neighborhood news:(your E-mail address
will be kept private)
For all the drop-down lists with a description in brackets,
you must make a selection from the list (do not choose
the one in brackets): "other "or "none" is
always an option
(AM or PM?)
(If the date is unknown, enter 0 for the date)
Exact time (if known):
AM or PM?
(select a Street)
E. Madison St.
E. Pine St.
E. Olive St.
E. Howell St.
E. Denny Way
E. John St.
E. Thomas St.
E. Harrison St
18th Ave E.
19th Ave E.
20th Ave E.
21st Ave E.
22nd Ave E.
23rd Ave E.
24th Ave E.
(select a location)
other (describe below)
in street outside
on sidewalk outside
(select a building)
Other (describe below)
De Charlene's Beauty Salon
Miller Community Center
Meany Middle School
House number (if known):
Please select the type(s) of incident(s): click to select one.
Ctrl-click / Apple-Click to de-select, or to select multiple
(type of incident)
public alcohol consumption
Please describe the participants and the incident:
Is this a recurring problem in this location?YES NO
Have you noticed previous problems involving these individuals?
Any other comments:
incident to 625-5011 (Police non-emergency #)
to Community Police Team (684-4352)
Comments on your interaction with the operator:
When you're happy with everything, click the button to:
The form will be sent to Andrew, who will send summaries to
the Police Department as needed.
Unhappy? Edit individual items or for a blank form.
Thank you for your time.
Andrew with any concerns, questions, suggestions about the
Report Form (I'm new at this forms business).
(Here are all