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2. Contact Name
4. Email Address
5. Phone Number
7. Do you want contact?
   -- Select One --YesNo
8. Preferred Method of Contact
   -- Select One --EmailPhone Call
12. Address where complaint is occurring*
14. Traffic Complaint Description*

18. We will look into your concern as quickly as possible. 

    Thank you, 

    Eric M. Shaughnessy
    Patrol Division Commander
    
    

20. 
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22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field