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Incident Type
Person Type
Your Info
Incident
Vehicle
Property
Review
Finish
Requestor's IP Address : 216.171.237.34
Select Report Type for
Please select the report type: Original or Supplemental.
Select
Report Type
Definition
Original
This is the first report you have filed for this incident.
Supplemental
You are adding information to a
previous report
which was
submitted online
.
Original Online Report Number:
Select Incident Type
Select
Incident Type
Definition
Examples
Misc.
Reporting incidents not covered in the other four categories.
Litter, loud/bush parties, missing stop signs
Nuisance Dog
Dogs creating public safety concerns.
Dogs roaming free. Dogs chasing people. Excessive barking
Off-Highway Vehicles
Snowmobiles, All-Terrain Vehicles, quads
Problems with snowmobiles and ATVs - noise, trespass, stunting
Traffic Safety
Public Safety concerns regarding traffic within Parkland County.
Speeding, Failing to Stop at Stop Signs, racing. Gravel trucks, overweight trucks or missing intersection signage.
Unsightly Property
Any property with old dilapidated vehicles, trash, etc. If cannot be sighted from off property, not unsightly.
Residential property with 30 bags of garbage in yard. Residential property with 10 old rusted junker type vehicles.
Select Reporting Person Type
Please select a proper person type according to the definition below.
Select
Person Type
Definition
Individual
If you are reporting this for yourself.
Business
If you are responsible for reporting this for your employer or your own business.
Enter Reporting Person Information
Please enter your information as completely as possible. You may be contacted regarding this incident. An email address is required if you would like to be notified when this report is received and approved.
Employee ID:
First Name:
Middle Name:
Last Name:
Home Address:
City
/
State
/
Zip Code:
,
,
Home Phone:
Mobile Phone:
Email (To get a copy of this report):
Confirm Email:
Employer Name:
Work Address:
City
/
State
/
Zip Code:
,
,
Work Phone:
Race:
ABORIGINAL
ASIAN
BLACK
CAUCASIAN
EAST INDIAN
HISPANIC
Sex:
FEMALE
MALE
DOB:
Driver License Number:
Licensing State:
Enter Incident Information
Please enter all the information that applies. If you do not know the address of the incident, use the nearest intersection such as Market St./ 10th St.
Street Address:
City
/
State
/
Zip Code:
,
,
Incident Time (start):
Incident Time (end):
Have Vehicle Info to Enter?:
Yes
No
Have Property Info to Enter?:
Yes
No
Incident Description:
(Characters Left)
Enter Vehicle Information
Please enter the Vehicle information.
Type:
2 DOOR
4 DOOR
AMBULANCE
AUTOMOBILE
COMMERCIAL VEHICLE
DIRT BIKE
GRAVEL TRUCK
MINIVAN
MOTORCYCLE
PICKUP TRUCK
QUAD
SNOWMOBILE
SPORT UTILITY VEHICLE
TRAILER
VAN
Make:
ACURA
ARCTIC CAT
ARNES
AUDI
BMW
BOMBARDIER
BUICK
CADILLAC
CAN AM
CHEVROLET
CHRYSLER
DODGE
EAGLE
FIAT
FORD
FREIGHTLINER
GEO
GMC
HARLEY DAVIDSON
HINO
HONDA
HUMMER
HYUNDAI
INTERNATIONAL
JAGUAR
JEEP
KAWASAKI
KENWORTH
KIA
KTM
LEXUS
LINCOLN
MAC
MACK
MAZDA
MERCEDES
MERCURY
MITSUBISHI
NISSAN
OLDSMOBILE
OTHER
PETERBUILT
PLYMOUTH
POLARIS
PONTIAC
PORSCHE
ROLLS ROYCE
SAAB
SATURN
SKIDOO
STERLING
SUBARU
SUPERIOR
SUZUKI
SWS
TOYOTA
TRAILTECH
TRIUMPH
VOLKSWAGON
VOLVO
WESTERN STAR
WHITE
YAMAHA
Model:
Year (YYYY) :
Color:
BLACK
BLUE
BRONZE
BROWN
BURGANDY
CAMO
GOLD
GREEN
GREY
MAROON
ORANGE
PURPLE
RED
ROSE
SILVER
TAN
TEAL
TURQUOISE
WHITE
YELLOW
License Plate Type:
COMMERCIAL
GOVERNMENT
MOTORCYCLE
OFF HIGWAY VEHICLE
PASSENGER
PERMANENT
TRAILER
License Plate Number:
(do not enter spaces)
Licensing State:
Enter Property Information
Please enter the Property information.
Type:
BICYCLE
CASH
CLOTHING
COLLAR
COMPUTER EQUIPMENT
COMPUTERS
DOCUMENTS
DRIVER'S LICENCE
DRUGS
FIREARM
HELMET
KNIFE
LICENCE PLATE
LICENCE PLATE COVER
LIQUOR
MOTOR VEHICLE DOCUMENTS
OTHER
OTHER WEAPON
PHOTOGRAPHS
PURSE OR WALLET
Subtype:
Brand:
Model:
Color:
BLACK
BLUE
GREEN
ORANGE
PINK
RED
YELLOW
Serial Number:
How Many:
Approx. Market Value ($):
Property Description:
Review Report
Please review the report. If all the information is correct, click the Continue button to submit the report. If you need to modify some information, click the desired modify link. This will be your last chance to change information for this report.
General Information:
Incident Type:
Person Type:
Reporting Person Information:
Employee ID:
Name:
Home Address:
Home Phone:
Mobile Phone:
Work Phone:
Email:
Race:
Sex:
DOB:
Driver License Number:
Licensing State:
Incident Information:
Incident Location:
Incident Time (start):
Incident Time (end):
Incident Description:
Vehicle Information:
Type:
Make:
Model:
Year (YYYY):
Color:
License Plate Type:
License Plate Number:
Licensing State:
Property Information:
Type:
Subtype:
Brand:
Model:
Color:
Serial Number:
How Many:
Market Value($):
Property Description:
Your report has been submitted.
Your report is complete. Please use the button above to view and print the temporary report for your reference. You will be emailed a copy of the final report once the report is approved. The copy of the report will be sent as a PDF attachment, please make sure your email settings will permit this.
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