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2. Traffic Calming Request

   Lincoln Police Department Traffic Division

4. Road in Question*
5. Is This a New or Existing Problem?

   1. New
   2. Existing
6. Date/Time
   Date/Time

   Date/Time
8. Witness Information
10. Name*
11. Email Address
13. Address*
15. City*
16. State*
17. Zip Code*
19. Phone Number
21. Concern*

    1. Speeding
    2. Stop Sign
    3. Parking
    4. Excessive Noise
    5. Excessive Fumes

    1. Commercial Trucking
    2. Racing/Groups
    3. Traffic Volume
    4. Other
22. If Other is Chosen Please Explain Here
24. Describe the Concern in Detail*
26. How to Contact You

    1. Email
    2. Phone
27. Ideal Time to Contact You
    Ideal Time to Contact You Start Time

    —

    Ideal Time to Contact You End Time
31. For Internal Use Only
33. Handled By
34. Hours
35. Date
    Date
36. Please Select One

    1. Speed Trailer
    2. Traffic Counter
    3. Radar Post
    4. Directed Enforcement
    5. Other
    6. Unfounded
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field