Name*:

Address*:

Phone Number*:

E-Mail Address*:

Who is your Commissioner?:

Ward Number*:

Location of Traffic Concern*:

Type of Traffic Concern*:
SpeedingStop SignTraffic SignalOther
If "other," please specify:

Day(s) of the week you notice the concern (select all that apply):
SundayMondayTuesdayWednesdayThursdayFridaySaturday

Time(s) that you notice the Traffic Concern* (check all that apply):
Morning Rush HourEvening Rush HourAll of the timeSpecific times
If "specific times," please specify:

If a specific vehicle is causing the concern, please provice the following information:
Registration:

Make:

Model:

Color:

Description of Driver:

Decribe your concern in detail*:

Enter the code below: