Community Engagement Contact Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Name (helpful for us to contact you): *

Address (necessary to identify your district - you can put the hundred block or nearest intersection if you prefer): *

Email (for us to follow up): *

The following questions relate to the Four Service Priorities of Petaluma Community Policing ---

1. Reducing Crime

Please focus on these areas of crime in my district community (please check all that apply):

Alcohol Related Incidents

Disturbances

Parking Violations

Suspicious Person, Vehicle or Circumstances

Trespassing or Loitering (Causing Unease or Obstructing Others in a Public Area)

Theft

Vandalism

Violent Crimes

Other:

2. Increasing Traffic Safety

Please focus on these areas of traffic safety in my district community (please check all that apply):

Reckless Driving/Accidents

Pedestrian Safety

Traffic Congestion

Unsafe Speeds

Other:

3. Improving Quality of Life

Please focus on these areas of improving quality of life in my district community (please check all that apply):

Abandoned Vehicles

Drug/Narcotic Problems

Noise (by People in Public)

Noise (by Vehicles)

Noise (by Businesses)

Unsheltered Encampments on Public and Private Property

Unsheltered Person(s) Causing Harm to Themselves or Others

Other:

4. Engaging with the Community

need brief description

Please include me in these communication methods so I can stay engaged in my district community (please check all that apply):

Contact from My District Officer

My Quarterly District Community Newsletter

Town Hall Meeting for My District Community

Email Notification of Petaluma Community Events

Other:

We Are Listening! Any other Comments or Suggestions to the Petaluma Police Department:

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms