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Eugene Police Department

E-Moto/E-Bike/E-Scooter Complaint

This complaint form is used to report illegal use and operation of electric micromobility devices, such as e-moto, e-bike, e-scooter, etc.
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
Description of Operator and Device
Please provide description of operator and device related to this incident.
Operator Description
Name
Phone Number
Address
Race/Ethnicity
Gender
Age
Device Description
Style
Make/Model
Color
Other Unique Device Identifiers
Incident Location Information - Complaint
Please provide location information related to this incident.
Incident Location (required)
Incident Date and Time (required)
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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