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Canby Police Department
FORMS
The information which you provide on these forms will be held in strict confidence by the Canby Police Department, its agents, and employees.
It wil be used solely for the purpose of processing your requests. It will not be sold, distributed or otherwise disclosed for commercial purposes. This
information may be released to third parties only with your prior written consent.
Anonymous Tip Form
If you have seen any kind of suspicious activity in Canby, please complete this form and we will receive your information via email.
Providing your name and contact information is optional;
however, please provide as much detailed information as you can. That way we can follow up on the manner as quickly and
effectively as possible.Your cooperation is very important but do not take unnecessary risks or action on your own.
Traffic Complaint Form
This form can be used to assist you in making a complaint about various different traffic related
issues. These issues can range from speeding, red light running, stop sign violations to traffic
hazards, etc. Please complete the form and then select the method of return response before
pressing the "Submit Query" button. All complaints will be addressed and a return response will be
made as soon as possible.
Vacation Check Request
The Canby Police Department would be glad to check your home to see that it is secure while you are on vacation.
The purpose of this form is to let us know, in the event of an emergency, that your home is vacant.
It will also give us a resource to call if there is a problem at your home while you are gone. The information on the
form will be placed on a log where officer's will be made aware that your home is vacant.
Citizens Police Academy
The Canby Police Citizen Academy provides a mechanism
for educating the public about the criminal justice system, crime
prevention, and a means to strengthen the citizen/police partnership
to make the community a better and safer place to live. Prior to acceptance to an academy you must fill-out this online registration
form and submit it to us, we will receive your information
via email. For Canby residents only. It will be necessary that all individuals understand that
a criminal history background check will be initiated on all applicants.
Alarm Permit Form
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The City of Canby requires by ordinance that persons who have burglary
or robbery alarms that summon police to any building or premises first
obtain an alarm user permit. Alarm users who have more than two false
alarms during the permit period (calendar year) are subject to a surcharge.
Please complete the application and return it to
the Police Department with a check or money order for $24, made payable
to the CITY OF CANBY.
Commendation or Complaint Form
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The Canby Police Department is continuously striving to provide the highest quality service by monitoring the performance of its employees.
We encourage you to print the following form and use it to submit your
complaint or commendation. The form must be printed and filled out completely and accurately.
Public Education Request Form
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The Canby Police Department's Crime Prevention team provides many services to the community to encourage crime prevention and safety.
If you are interested in having a program in your area and would like to request public education
services on any crime prevention topic, please print and fill out the above form. Programs are scheduled based
on the availability of personnel.
HomeSafe Application Form
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Available to residents of Canby, the HomeSafe Program, is designed to aid emergency care
providers in identifying where a displaced, memory impaired person may belong when s/he has
wandered away from his/her home or care center. Identification is made possible by a specially
designed bracelet provided at NO cost to the individual by the Canby Police Department. Please print and fill out the above form and bring it to the Police Department. Upon
completion of the application, a volunteer collects the appropriate information to enroll the person
in the program and takes a photograph.
Ride along Request Form
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Use this form to request a ride along with a police officer.
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