City of Citrus Heights
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Police Citizen Concern Worksheet
If you have a life threatening emergency or need to report a crime in progress, please call 9-1-1.
If you need to file a crime report, please refer to the information in the reports section of the police web pages for information on filing your report. Please do not attempt to use this worksheet to file a crime report.
Use the police citizen concern worksheet below to notify the police of the following problems: reoccurring/suspicious activities, crime series, safety hazards, suspected drug activity, problems with juveniles, transient problems, traffic problems, or other non-criminal activity.
Please provide as much information as you can. The more complete the information, the better we are able to serve you.
PLEASE NOTE: THIS FORM DOES NOT QUALIFY AS A CRIME REPORT.
* Required Field
 
Your Information
Please provide the following information about you:

(standard format: XXX-XXX-XXXX)
If the problem involves your business or place of work, please complete the business information:

(standard format: XXX-XXX-XXXX)
Problem Information
Check one or more boxes that best describe the type of problem or problems you are having.
Crime series
Safety hazards
Suspected drug activity
Problems with juveniles
Transient problems
Traffic problems
Other 
If there are any credible information that points to a person or persons who may be the cause of this problem, please provide us with as much information as possible. If there are more than two suspects, please include the additional suspect information in the Problem Description section above.

(standard format: XXX-XXX-XXXX)

(standard format: XXX-XXX-XXXX)
No
No
 
Please print a copy of this page before sending if you want to retain a copy of your E-Services transaction. To print the page, use the File menu and choose Print.


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