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Eugene Police Department

Traffic Complaint Tip

This complaint form is to be utilized for reporting a traffic complaint in your area.
Tips - Reporting Person Information
Please provide your information. This section is not required if you wish to remain anonymous.
First Name
Middle Name
Last Name
Date of Birth
Racial/Ethnic Identity
Gender/Gender Identity
Phone Number
Email Address
Confirm Email Address
Home Address
Zip Code
Driver's License Number
Driver's License State
Driver and Vehicle Information
Please provide driver and/or vehicle information related to this incident.
Driver Information
Name
Phone Number
Address
Race/Ethnicity
Gender
Age
Vehicle Information
Year
Make
Model
Color
License Plate
License Plate State
Other Unique Vehicle Identifiers
Incident Location Information - Traffic Complaints
Please provide location information related to this incident.
Incident Location
Incident Narrative (required)
Documents, Pictures or Videos
Please provide any Documents, Pictures or Videos to Support your Case


Filing a false police report is a crime (ORS 162.375). Please review your information above.



300 Country Club Rd
Eugene, OR 97401
Phone: (541) 682-5111

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