Marion County Sheriff's Office
Traffic Control Report Form
       
GENERAL INFORMATION
Day(s) of the week the problem most often occurs: Monday
Thursday
Sunday
Tuesday
Friday
Wednesday
Saturday
 
Time of the day/night when traffic problem most often occurs: 6 AM - 9 AM
3 PM - 7 PM
1 AM - 6 AM
9 AM - 12 PM
7 PM - 10 PM
12 PM - 3 PM
10 PM - 1 AM
 
Type of Traffic problem/concern: Speeding
Careless Driving
Parking
Loud music coming from vehicle
Failing to stop for a traffic control device (stop sign or red light)
Other (explain)

 
Location of problem:
(Street and nearest cross street OR address)
 
Description of problem:
 
Approximate number of vehicles involved:
 
VEHICLE INFORMATION
Vehicle Type: Pick Up Truck Motorcycle
  Van SUV Sedan
  Convertible 2 Door 4 Door
 
Vehicle Make / Model:
Vehicle Color:
License Plate:
Driver Description:
 
Direction of travel:
(North, South, East, West, OR from ___ street going to ___ street)
 
If this problem is occurring in your neighborhood, would you be willing to let a Deputy use your driveway or other property in an attempt to help solve the traffic problem?
  Yes No  
 
REQUIRED CONTACT INFORMATION
We will not contact you unless additional information is needed.
E-Mail Address:
 
OPTIONAL CONTACT INFORMATION
If you would like an explanation or contact regarding the efforts that have been made to help correct the problem, please provide the following information.
First Name:
Last Name:
Street Address:
Phone Number:
Best time to call: Mornings/Afternoons Evenings Weekends