Y.P.D Community Police Complaint Form PD-61 rev.04/16
Date:Click here to enter a date. Incident #:Click here to enter text.
Identify the Type of Problem at the Address
☐ Yard Waste/Junk or Trash on Property ☐ Dog or Animal Complaint
☐ Grass/Weeds over 8 inches high ☐ Trees or Shrubs Blocking Sidewalk
☐ Vehicle(s) Abandoned on Property ☐ Vehicle(s) Parked on Sidewalk/Lawn
☐ Suspicion of Drug Activity ☐ Suspicion of Prostitution
☐ Exterior of House needs Extensive Repair explain: Click here to enter text.
☐ Loud Music from House ☐ Loud Music from Vehicle
Other:
Vehicle Descriptions
:
Make: Model:
Color: License#
Comments on Above:
Are you associated with any neighborhood watch:
Mail To: Youngstown Police Department
Office of the Chief of Police
C/O _________________________
116 W. Boardman St.
Youngstown, Ohio 44503
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Yes Would you like to be contacted regarding this complaint? All information is Confidential.
For Police Use Only
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