Please use this form to anonymously report any incidents
or suspicious occurrences in Midland Park Borough only. We
do not handle areas outside of Midland Park. To report incidents
in other communities, please contact the appropriate agency
directly.
Include as much information as possible in the form below.
Incomplete or inaccurate information will delay processing
of this report and may compromise our ability to quickly and
effectively respond to this complaint. Thank you.
1. Please tell us where the problem
is:
The address must be entered correctly for the report to
be processed, a misspelled or incomplete entry will return
a negative response.
Address:
Address 2 or Apartment #:
2. Identify the activity location
for this violation.
Inside
Business
Inside
Private Residence
Alley
or Driveway
Hallway
/Corridor
Park
/Wooded Area
Sidewalk
/Street Corner
Vacant
Lot
Vehicle
Garage
Other
Activity Location
3. Please Tell Us About the Activity.
Days when activity is present:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Time when activity is present:
12am-2am
2am-4am
4am-6am
6am-8am
8am-10am
10am-Noon
Noon-2pm
2pm-4pm
4pm-6pm
6pm-8pm
8pm-10pm
10pm-12pm
Infrequently
24
hours a day
Don't
Know
Describe the activity:
4. Please Tell Us About the Offender.
Offender's Name:
Offender's NickName:
Offender's Age:
Offender's Race and Sex:
Offender's Phone Number:
Offender's Pager Number:
Offender's Address:
Offender's Description:
5. Please tell us about any vehicle
used by the participants
Vehicle Type:
Vehicle Year:
Vehicle Manufacturer:
Vehicle Model Name:
Vehicle Color:
License Plate State:
License Number:
Unique Features:
6. Please tell us about yourself
Your Name:
Street Address:
Address 2 or Apartment #:
City & State:
Zip Code:
Daytime Phone:
May we call you for additional information?
Yes
No
Email Address:
Additional Comments: