Miller Park Incident Report

This is:

my first report not my first report

(here are all the reports)

Personal Information

(this is all optional. Enter nothing and your report will be anonymous, which is fine by me)

My name:


Add me to the Miller E-mail list for neighborhood news:(your E-mail address will be kept private)

My Public Safety Report

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

When it happened:

(date)  at about:

(If the date is unknown, enter 0 for the date)

Exact time (if known):

Where it happened:

block Location:

House number (if known):

What happened:

Please select the type(s) of incident(s): click to select one.

Ctrl-click / Apple-Click to de-select, or to select multiple options.

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? YES NO

Any other comments:

What I did:

reported incident to 9-1-1

reported incident to 625-5011 (Police non-emergency #)

reported incident 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.


Please E-mail Andrew with any concerns, questions, suggestions about the Report Form (I'm new at this forms business).

(Here are all the reports)