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TRAFFIC EDUCATION REPORT FORM Updated June 16, 2006
 
Reporting Party:
   
Email Address:
   
Address:
   
Phone Number:
   
Anonymous Report:
   
Date of Incident:
   
Time of Incident:
   
Driving Behavior Observed:
   
Location:
   
Vehicle Description: Make/Model:
   
  Color:
   
  Registration:
   

Operator Description:
(if available)

Male: Female:
Approximate Age:
 
 

The Highland Park Police Department is committed to the pursuit of the highest level of traffic safety within the community. Citizen input is an integral component of this safety philosophy and your contribution is greatly appreciated. The information furnished will be reviewed by traffic specialists and the registered owner of the identified vehicle contacted, seeking voluntary compliance with existing traffic laws. Thank you for your participation in this traffic safety program.

Paul Shafer
Chief of Police