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2. First and Last Name
3. Phone Number
5. E-Mail Address
7. Violations*
   -- Select One --Speeding - Disregarding Speed Limits | Reckless DrivingVehicle(s) Disregarding Stop Signs/Lighted Traffic SignalVehicle(s) Disregarding School Bus Stop ArmOther
8. If you selected "Other" for Violations, please list here.
10. Street Name that Offense(s) are occuring on*
11. Direction of Travel

    Please select all that apply

    1. North
    2. South
    3. East
    4. West
13. Travel Distance To and From

    Where does the offense start and end at?

14. Time Offense(s) Occurs

    What time is the offense occurring? Please be specific so that officers can monitor the areas at the appropriate time. Do not state, "The offense is occurring all day long." You may list multiple timeframes, such as school bus pickup and drop-off times.

16. Enforcement Requested*

    Select the appropriate law enforcement actions that will best remedy this complaint. You may select all that apply.

    1. Area monitored by law enforcement officers, and enforcement of traffic and parking violations
    2. Attempt to contact the violator and educate them on the traffic/parking offense(s) occurring (select only if you know where the offender lives)
    3. Radar speed display sign deployed (please see notes below)
18. Address of Offender (if selected above)
19. Location of Speed Display Sign (if selected above)

    Please be specific. If radar speed display is selected, please understand that the Westfield Police Department has a limited number of speed display signs. Your request for a display sign may not immediately take effect due to the high request for deployments. Speed signs are typically placed for 1 - 2 weeks.

21. Please contact me

    Please understand that you may not immediately see enforcement in your area, but we will do our best to respond with enforcement as soon as possible. Check the box below if you would like to speak verbally with an officer regarding your complaint. If chosen, please have your first and last name filled out above and a phone number to reach you. This option may be selected if you request follow-up to our enforcement efforts.

    1. Yes, please contact me
    2. No, do not contact me
23. Please list any additional information that you would like officers to know
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field