Police – Neighborhood Extra Patrol Request

PIERCETON POLICE DEPARTMENT
207 N. FIRST STREET
PIERCETON, IN 46562
574.594.2232

In our efforts to make the community safer and to reduce crime, the Pierceton Police Department offers this service free of charge. If requested, we will periodically patrol areas that are reported to us. Also, we can contact you directly with any questions or concerns that arise.

Instructions: Please complete all sections of this form prior to submission. The information you list on this form will be kept confidential. If there are any changes to the information you provide, after submission, please contact the Pierceton Police Department at 574.594.2232 or police@pierceton.org

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Request a call back *

• Yes
• No, Stay Anonymous

Name *

First

Last

Phone *

Email

Location of problem *

Describe the problem *

Day(s) problems occurs: *

• M
• T
• W
• TH
• F
• SAT
• SUN
• ALL

Time(s) problems occurs: *

• 12 – 3 AM
• 3 – 6 AM
• 6 – 9 AM
• 9 AM – 12 PM
• 12 – 3 PM
• 3 – 6 PM
• 6 – 9 PM
• 9 – 12 MIDNIGHT

Additional information:

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