Canby Police Department

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 below 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.

Thank you...Canby Police Traffic Unit

Type of Traffic Problem:

Speeding

Stop Sign

Red Light Running

Reckless Driving

Parking

Handicapped Parking

Other:

Location of the Complaint?
Location of Complaint:
Example: 700 S. Pine St or S. Redwood and SE 13th St.

Date and Time Violation Occurring?

Day of Incident:
Example: 03/15/05 or on going 		Time of Incident:
Example: 3:15 pm or 3:00 pm to 4:00 pm
Additional Time Information

Example: Occurring every morning 8:00 am to 9:00 am or Saturday and Sunday only

Vehicle Description (As you may best recall)
Year:
 		Make:
 		Model:
Color:
 		License Number:
 		State:
Other Information:

Description of Driver? (Not required if not observed or As you may best recall)

Male

Female

Age:

Ex: 25 or
25-30 		Race:
Hair Color:
Height:

Ex: 5'10" 		Weight:

Ex: 150
Other Descriptive Remarks:

Example: Glasses, Mustache, Beard, Hat, etc.

Other Remarks or Comments You May Have?
Remarks or Comments:

Online Complaint Form

If you would like a return response about your complaint, please provide the information below and we will contact you as soon as possible.

Thank you for helping us to serve you better.

Name:
Address:
(optional)
Phone(day):


E-mail:

Meet our traffic team !! - Click here.
-- The officers who respond to your information. --