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Traffic Complaint

This complaint form is to be utilized for reporting a traffic complaint in your area.
Incident Narrative
Describe your incident here, and please be as detailed as possible.
Incident Narrative (required)
Incident Location Information
Please provide location information related to the incident.
Incident Location (required)
Please provide date and time information for which the incident occurred.
Beginning Timeframe (required)
Ending Timeframe (required)
Reporting Person Information
Please enter your information.
First Name (required)
Middle Name
Last Name (required)
Date of Birth (required)
Racial/Ethnic Identity
Gender/Gender Identity
Phone Number (required)
Email Address (required)
Confirm Email Address (required)
Home Address (required)
Zip Code (required)
Driver's License Number/ID Card
Driver's License/ID Card State
If you are reporting on behalf of someone else, please click Add Additional below and include the victim's information.
Contact Information
Please provide the best e-mail and phone number to reach you.
E-Mail Address (required)
Mobile Phone Number (required)
We are currently not yet accepting appointments, please select No Appointment (required)
Schedule Contact Appointment
Please pick an available date and time for an officer to contact you via Phone or Zoom.


Filing a false police report is a crime (ORS 162.375). Please review your information above.



2600 SW Pacific Boulevard
Albany, OR 97321
Phone: 541-917-7680

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