City of Salem
Citizen Traffic Report
Complaint Information
Name
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Date of Birth
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Address
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Phone
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Email
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Violation Information
Date of Violation
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Time of Violation
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Location of Violation
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Description of Person Involved
Who was involved?
Driver
Passenger
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Gender
Male
Female
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Approximate Age
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Description of Clothing/Appearance
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Other Identifiers
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Vehicle Description
License Plate Number
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License Plate State
Alabama
Alaska
Arkansas
Arizona
California
Colorado
Connecticut
D.C.
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Oklahoma
Ohio
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
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Color
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Description
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Description of the actions observed, or the violation which occurred.
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I confirm that I would like to have the owner notified by letter of the violation.
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Submit
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