2. MIDLOTHIAN POLICE DEPARTMENT

   14801 S. Pulaski Road Midlothian, Illinois 60445 708-385-2534 Fax 708-389-0436

4. TRAFFIC COMPLAINT FORM

6. First Name*
7. Last Name*
9. Phone Number *
11. Location*
13. Time Of Occurrence*
15. Email Address
17. Requesting*

    1. Radar Trailer
    2. Officer
    3. Both
19. Comments
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21. 1. Receive an email copy of this form.
22. Email address

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23. Submit

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