Traffic Complaint Form

Hurst Police Department
1501 Precinct Line Road ~ Hurst, Texas 76054
817-788-7156

 

To submit a traffic complaint with the Hurst Police Department please complete this form and press submit form.

 

Fields marked with * are required.

1

Complaint Information:

 *

Complaint Information:

Speeding

Stop Sign/Traffic Light

Parking

Abandoned/Junked Vehicle

Other

2

The following field must be completed if "Other" is selected for the complaint to be processed properly.

The following field must be completed if "Other" is selected for the complaint to be processed properly.

3

Location of Violation:

 *

Location of Violation:

4

Time range when violation occurs:

 *

Time range when violation occurs:

5

Date when violating is occurring:

 *

Date when violating is occurring:

6

Additional Information:

Additional Information:

Complaint Information (Your Information):

7

Name:

 *

Name:

8

Address:

Address:

9

City:

City:

10

State:

State:(Select State) Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

11

Zip:

Zip:

12

Phone:

 *

Phone: ext.

13

Email:

Email:

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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