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2. This form goes to an email mailbox that is not monitored 24/7, for an immediate response please call the Ankeny Police non-emergency line, 515-286-3333 option 5 or 911 for an emergency.
   • Do not use this form to report a vehicle collision, an intoxicated driver or reckless driving that is happening right now. Call 515-286-3333, option 5.
   • Call 911 if the situation is an emergency.
4. First & Last Name*
5. Phone Number*
7. Email*
9. Home Address*
11. City*
12. State*
13. Zip Code*
15. Specific Location of Violation *
17. Type of Violation*
    -- Select One --Excessive speeding Stop Sign / Stop LightOther traffic violationIllegally parked vehiclesAbandoned vehiclesOther parking issues
19. If you selected 'other' please explain or provide details of the traffic or parking or violation
21. Additional information that the Police Department might find useful in addressing your complaint

    (i.e. time of day, direction traveling, vehicles involved, etc.)

Leave This Blank:


23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field