Purpose. This form is used to report a traffic safety concern or suggestion for review. This would include concerns or needs regarding, parking, speed limit or stop signs, new traffic signals, changes in traffic, signal operation, school crossings, etc.

First Name:*

Last Name:*

Email:*

Daytime Phone:*

Street:

City:

State

ZIP

Please select the nature of your concern:*

Review location for new traffic signal Review location for change in traffic signal operation Review location for parking restrictions Review location for parking to be restored

Review location for STOP or YIELD sign Review location for change in speed limit Review location for speed limit sign(s) Other

Please provide a detailed description of the concern:*

Indicate the exact location of the concern (street address, cross roads, signal light, signal location, etc)*