Sheriff's Office Patch

Marion County Sheriff's Office
Traffic Control Report Form

General Information

Day(s) of the week the problem most often occurs:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
 
Time of the day/night when traffic problem most often occurs:
6 AM - 9 AM
9 AM - 12 PM
12 PM - 3 PM
3 PM - 7 PM
7 PM - 10 PM
10 PM - 1 AM
1 AM - 6 AM
 
Type of Traffic problem/concern:
Speeding
Careless Driving
Parking
Loud music coming from vehicle
Failing to stop for a traffic control device (stop sign or red light)
Other (explain)
 
Location of problem:
(Street and nearest cross street OR address)
 
Description of problem:
 
Approximate number of vehicles involved:
 

Vehicle Information

Vehicle Type:
Pick Up
Truck
Motorcycle
Van
SUV
Sedan
Convertible
2 Door
4 Door
 
Vehicle Make / Model:
Vehicle Color:
License Plate:
Driver Description:
 
Direction of travel:
(North, South, East, West, OR from ___ street going to ___ street)
 
If this problem is occurring in your neighborhood, would you be willing to let a Deputy use your driveway or other property in an attempt to help solve the traffic problem?
Yes
No
 

Required Contact Information

We will not contact you unless additional information is needed.
*E-Mail Address:
 

Optional Contact Information

If you would like an explanation or contact regarding the efforts that have been made to help correct the problem, please provide the following information.
First Name:
Last Name:
Street Address:
Phone Number:
Best time to call:
Mornings/Afternoons
Evenings
Weekends